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Testing Report for 2021-02-09-12-9

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 215014 DEA: 101C9404 EFIS: 1016000020 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-5-26.4/27.0
Work Description: BRIDGE REHABILITATION
Location Description: ON STATE HIGHWAY IN SAN JOAQUIN COUNTY IN STOCKTON FROM 0.3 MILE NORTH OF ROUTE 5/4 SEPARATION TO PERSHING AVENUE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Chris Hanson Structure Rep.: Matin, Ron

Sample Information

DIME Sample ID: 2021-02-09-12
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 02/09/2021
Date that the sample was received by the laboratory/organization performing the testing: 02/12/2021
The quantity of what the sample constitutes: 87
A brief description of the sample: 5/8" x 7" Heavy Hex Bolt F1554
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CK Johnson

Material Information

Rocap Number(s):
Heat Number(s): 3093332
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: ASTM F1554
Bolt Length(s): 7"
Nut Specification: N/A
Washer Specification: N/A
Finish: HDG F2329
Diameter/Size: 5/8"
Bolt Mfg. Lot Number: 3093332
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-02-09-12-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 03/08/2021
Date Tested: 02/26/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Additional Comments When Verified:

Submitted Test Results

Sample No. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 3093332
Finish Coating ASTM F2329 - Hot Dip
Product Markings PB AB105
Size .625 in
Bolt Length 7 in
Measurement Average 4.86 mils