Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211797 DEA: 080G8424 EFIS: 0814000184
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-R107.3
Work Description: UPGRADE EXISTING SAFETY ROADSIDE REST AREAS (SRRA)
Location Description: SAN BERNARDINO COUNTY ABOUT 30 MILES EAST OF BARSTOW AT C.V. KANE SAFETY ROADSIDE REST AREA
Contractor Name: HAL HAYS CONSTRUCTION INC.
Contractor Address: 4181 Latham St., Riverside, CA 92501
Resident Engineer: Khoa Nguyen Structure Rep.: Leonard J Romero
DIME Sample ID: 2017-10-13-5
TL Number from the TL Form: C939722
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/13/2017
Date that the sample was received by the laboratory/organization performing the testing: 10/17/2017
The quantity of what the sample constitutes: 68 nuts 40 washers
A brief description of the sample: 1in HDG Nuts and Washers
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bristol Machine
Rocap Number(s):
Heat Number(s): Nuts-6214073502
Washer-C65743
Nut Mfg. Lot Number(s): 23094-6214073502
Washer Mfg. Lot Number(s): 32537
Bolt Specification: n/a
Bolt Length(s):
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 1"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
DIME Test ID: 2017-10-13-5-2
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 10/19/2017
Date Tested: 10/19/2017
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.
|
2A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
23094-6214073502
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U DH
|
Size
|
1 in
|
Gage Type
|
Pass
|
DIME Test ID: 2017-10-13-5-3
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 10/19/2017
Date Tested: 10/19/2017
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.
|
2B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
23094-6214073502
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U DH
|
Size
|
1 in
|
Gage Type
|
Pass
|
DIME Test ID: 2017-10-13-5-4
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 10/19/2017
Date Tested: 10/19/2017
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.
|
2C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
23094-6214073502
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U DH
|
Size
|
1 in
|
Gage Type
|
Pass
|
DIME Test ID: 2017-10-13-5-5
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: 10/19/2017
Date Tested: 10/19/2017
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.
|
2A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
23094-6214073502
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U DH
|
Size
|
1 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.59 mils
|
DIME Test ID: 2017-10-13-5-6
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: 10/19/2017
Date Tested: 10/19/2017
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.
|
2B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
23094-6214073502
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U DH
|
Size
|
1 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.63 mils
|
DIME Test ID: 2017-10-13-5-7
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: 10/19/2017
Date Tested: 10/19/2017
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.
|
2C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
23094-6214073502
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U DH
|
Size
|
1 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.64 mils
|
DIME Test ID: 2017-10-13-5-8
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: 10/19/2017
Date Tested: 10/19/2017
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.
|
2A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
32537
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
B
|
Size
|
1 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.79 mils
|
DIME Test ID: 2017-10-13-5-9
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: 10/19/2017
Date Tested: 10/19/2017
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.
|
2B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
32537
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
B
|
Size
|
1 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.2 mils
|
DIME Test ID: 2017-10-13-5-10
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: 10/19/2017
Date Tested: 10/19/2017
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.
|
2C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
32537
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
B
|
Size
|
1 in
|
Bolt Length
|
no data in
|
Measurement Average
|
5.46 mils
|
DIME Test ID: 2017-10-13-5-11
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: 10/19/2017
Date Tested: 10/19/2017
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.
|
2D
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
32537
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
B
|
Size
|
1 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.03 mils
|
DIME Test ID: 2017-10-13-5-12
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: 10/19/2017
Date Tested: 10/19/2017
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.
|
2E
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
32537
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
B
|
Size
|
1 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.7 mils
|
DIME Test ID: 2017-10-13-5-13
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/19/2017
Date Tested: 10/19/2017
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.
|
2A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
32537
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
B
|
Size
|
1 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
31.35
|
Spacing
|
Ok
|
DIME Test ID: 2017-10-13-5-14
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/19/2017
Date Tested: 10/19/2017
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.
|
2B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
32537
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
B
|
Size
|
1 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
31.9
|
Spacing
|
Ok
|
DIME Test ID: 2017-10-13-5-15
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/19/2017
Date Tested: 10/19/2017
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.
|
2C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
32537
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
B
|
Size
|
1 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
32.45
|
Spacing
|
Ok
|
DIME Test ID: 2017-10-13-5-16
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 10/19/2017
Date Tested: 10/18/2017
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: Nut Proof
Test Result Compliance:
Additional Comments When Verified:
Number of Samples
|
1
|
Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Comments | Tested By | 2A | 23094-6214073502 | 1\" | 93519 | 415.99 | Nut Proof | Fred |
| |
UTM
|
400KIP
|
Temperature
|
72 F
|