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Testing Report for 2021-02-10-3-7

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

Project Information

DEA: 030F2504
EFIS: 0300000075
Project ID: 213406
QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL,SAC-80-R11.1/R11.7,M0.0/M0.5
Work Description: SAC RIVER BOH (BRYTE BEND)
Location Description: SACRAMENTO AND YOLO COUNTIES IN WEST SACRAMENTO AND SACRAMENTO FROM 0.1 MILE WEST OF REED AVENUE UNDERCROSSING TO 0.1 MILE EAST OF SACRAMENTO RIVER BRIDGE AND OVERHEAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Ephrem Teweldeberhan
Structure Rep.: Brent Bullard

Sample Information

DIME Sample ID: 2021-02-10-3
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: 2/10/2021
Date that the sample was received by the laboratory/organization performing the testing: 2/12/2021
The quantity of what the sample constitutes: 11,126 Nuts
A brief description of the sample: 5/8" ASTM A563 DH nuts
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): 443696A and 448446A
Heat Number(s): 100791165
Nut Mfg. Lot Number(s): 446189C
Washer Mfg. Lot Number(s): N/A
Bolt Specification: N/A
Bolt Length(s): N/A
Nut Specification: ASTM A563
Washer Specification: N/A
Finish: ASTM F2329 HDG
Diameter/Size: 5/8"
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s): YES
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-02-10-3-7
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 2/23/2021
Verified Date: 3/2/2021
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:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Sample No.: 1D
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 446189C
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: DH N
Size: .625 in
Gage Type: Pass