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Testing Report for 2021-02-25-15-3

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

Project Information

Project ID: 214601 DEA: 041J5694 EFIS: 0419000313 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-0.0/21.8
Work Description: Barrier modifications, overhead signs, freeway lighting and electronic toll system components
Location Description: SANTA CLARA AND SAN MATEO COUNTIES FROM 0.3 MILE NORTH OF SAN ANTONIO ROAD TO 0.3 MILE SOUTH OF GRAND AVENUE INTERCHANGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Douglas Inori Structure Rep.: Pinell, Tyler

Sample Information

DIME Sample ID: 2021-02-25-15
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 02/25/2021
Date that the sample was received by the laboratory/organization performing the testing: 02/26/2021
The quantity of what the sample constitutes: 17
A brief description of the sample: A325 Bolt
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Structural and Steel Products

Material Information

Rocap Number(s):
Heat Number(s): 201436 75070238 273919
Nut Mfg. Lot Number(s): 27724-75070238
Washer Mfg. Lot Number(s): D4382
Bolt Specification: A325
Bolt Length(s): 4.25"
Nut Specification: A563
Washer Specification: F436
Finish: MG
Diameter/Size: 1.5"
Bolt Mfg. Lot Number: 132325
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-02-25-15-1
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: 03/16/2021
Date Tested: 03/11/2021
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: A563 Proof Load
Additional Comments When Verified :

Submitted Test Results

Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 27724-75070238
Finish Coating ASTM B695 - Mech Galv
Product Markings DH U
Size 1.5 in
Gage Type NA