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Testing Report for 2021-02-09-15-3

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: 2021-02-09-15
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: 174 Nuts
A brief description of the sample: A563-DH HDG Nut
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): 100798972
Nut Mfg. Lot Number(s): 430236A
Washer Mfg. Lot Number(s):
Bolt Specification: N/A
Bolt Length(s):
Nut Specification: ASTM A563
Washer Specification: N/A
Finish: ASTM F2329
Diameter/Size: 5/8"-11
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-02-09-15-1
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: 03/02/2021
Date Tested: 02/18/2021
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: Nut Proof
Additional Comments When Verified:

Submitted Test Results

Sample No. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 430236A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .625 in
Gage Type Pass