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Sample Record for 2019-01-31-2

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Project Information

Project ID: 212687 DEA: 06442544 EFIS: 0612000175 QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-46,5-31.5-33.2
Work Description: CONVERT 2-LANE TO 4-LANE CONVENTIONAL HIGHWAY.
Location Description: KERN COUNTY NEAR LOST HILLS FROM 1.0 MILE EAST OF LOST HILLS ROAD TO 0.7 MILE EAST OF ROUTE 46/5 SEPARATION
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: Amarjit Dhaliwal Structure Rep.: Ramandeep Guraya

Sample Information

DIME Sample ID: 2019-01-31-2
TL Number from the TL Form: C877490
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 01/31/2019
Date that the sample was received by the laboratory/organization performing the testing: 02/01/2019
The quantity of what the sample constitutes: 1
A brief description of the sample: F1554 Anchor Rod, Nut, Washer
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Platte Anchor Bolt

Material Information

Rocap Number(s):
Heat Number(s): 3051299
Nut Mfg. Lot Number(s): 21979-6213174808
Washer Mfg. Lot Number(s): 292683
Bolt Specification: F1554
Bolt Length(s): 24", 26"
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 1.125
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2019-01-31-2-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 02/01/2019
Date Tested: 02/01/2019
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
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
130512990.5010.197660569054026.6Brian
UTM 67KIP
Temperature 72 f

Test 2 of 2

DIME Test ID: 2019-01-31-2-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 02/01/2019
Date Tested: 02/01/2019
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
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
230512990.5010.197652919047026.7Brian
UTM 67KIP
Temperature 72 f