Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211669 DEA: 022C0904 EFIS: 0200000161
QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-70-50.6/51.7
Work Description: BRIDGE WIDENING AND DECK REPLACEMENT, HMA, MGS AND CULVERT REPLACEMENT
Location Description: PLUMAS COUNTY NEAR QUINCY FROM 0.6 MILE WEST TO 0.5 MILE EAST OF SPRING GARDEN BRIDGE OVERHEAD
Contractor Name: MCM Construction
Contractor Address: 6413 32ND STREET, North Highlands, Ca 95660
Resident Engineer: Ronald Collins Structure Rep.: Jeffrey Rothgery
DIME Sample ID: 2017-06-14-4
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 06/14/2017
Date that the sample was received by the laboratory/organization performing the testing: 06/20/2017
The quantity of what the sample constitutes: 12
A brief description of the sample: F436 HDG washer
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS
Rocap Number(s): n/a
Heat Number(s): 542102
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): D2022
Bolt Specification: n/a
Bolt Length(s): Unknown
Nut Specification: n/a
Washer Specification: F436
Finish: HDG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
DIME Test ID: 2017-06-14-4-1
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 06/28/2017
Date Tested: 06/27/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
4A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D2022
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
F436 P
|
Size
|
no data in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.66 mils
|
DIME Test ID: 2017-06-14-4-2
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 06/28/2017
Date Tested: 06/27/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
4B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D2022
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
F436 P
|
Size
|
no data in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.69 mils
|
DIME Test ID: 2017-06-14-4-3
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 06/28/2017
Date Tested: 06/27/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
4C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D2022
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
F436 P
|
Size
|
no data in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.44 mils
|
DIME Test ID: 2017-06-14-4-4
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 06/28/2017
Date Tested: 06/27/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
4D
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D2022
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
F436 P
|
Size
|
no data in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.07 mils
|
DIME Test ID: 2017-06-14-4-5
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 06/28/2017
Date Tested: 06/27/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
4E
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D2022
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
F436 P
|
Size
|
no data in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.19 mils
|
DIME Test ID: 2017-06-14-4-6
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/28/2017
Date Tested: 06/27/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
4A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D2022
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
F436 P
|
Size
|
no data in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
35.55
|
Spacing
|
Ok
|
DIME Test ID: 2017-06-14-4-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/28/2017
Date Tested: 06/27/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
4B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D2022
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
F436 P
|
Size
|
no data in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
36
|
Spacing
|
Ok
|
DIME Test ID: 2017-06-14-4-8
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/28/2017
Date Tested: 06/27/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
4C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D2022
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
F436 P
|
Size
|
no data in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
34.45
|
Spacing
|
Ok
|