Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 210673 DEA: 042640F4 EFIS: 0400020132 COOP: 042308A3
QA Service Level: 1
DIST-CO-RTE-PM: 04-SON--
Work Description:
Location Description:
Contractor Name: GHILOTTI CONSTRUCTION CO. INC.
Contractor Address: 246 GHILOTTI AVENUE, SANTA ROSA, CA 95407
Resident Engineer: Gina Choi Structure Rep.: Brian Beaudoin
DIME Sample ID: 2020-04-07-2
TL Number from the TL Form:
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: 04/07/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/10/2020
The quantity of what the sample constitutes: 5
A brief description of the sample: F1554 Grade 55 HDG Anchor Bolts
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Circle
Rocap Number(s):
Heat Number(s): Nucor 1201015106
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: ASTM F1554
Bolt Length(s):
Nut Specification: ASTM A194
Washer Specification: ASTM F436
Finish:
Diameter/Size: 1.25"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
DIME Test ID: 2020-04-07-2-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 04/16/2020
Date Tested: 04/14/2020
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:
Number of Samples
|
1
|
Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | 1 | 1201015106 | 0.503 | 0.199 | 56487 | 81237 | 30.7 | bewing |
| |
UTM
|
67kip
|
Temperature
|
72 f
|
DIME Test ID: 2020-04-07-2-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 04/16/2020
Date Tested: 04/14/2020
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:
Number of Samples
|
1
|
Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | 2 | 1201015106 | 0.504 | 0.2 | 57481 | 80998 | 31 | |
| |
UTM
|
67kip
|
Temperature
|
72 f
|
DIME Test ID: 2020-04-07-2-3
Test Method: ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 04/16/2020
Date Tested: 04/14/2020
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.
|
1A
|
Rocap Number
|
no data
|
Heat Number(s)
|
1201015106
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
YELLOW PAINT
|
Size
|
1.25 in
|
Bolt Length
|
66 in
|
Pitch Diameter
|
1.156 in
|
Pitch Diameter 2nd
|
1.159 in
|
DIME Test ID: 2020-04-07-2-4
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: 04/16/2020
Date Tested: 04/14/2020
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.
|
1A
|
Rocap Number
|
no data
|
Heat Number(s)
|
1201015106
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
YELLOW PAINT
|
Size
|
1.25 in
|
Bolt Length
|
66 in
|
Measurement Average
|
4.65 mils
|