Print Report | Back to Test Summary

Testing Report for 2021-02-19-2-4

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

Project Information

DEA: 07296604
EFIS: 0713000057
Project ID: 212085
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-14.0/19.0
Work Description: PAINT AND REHABILITATE BRIDGE - (STRAIN (PAINT AND INSTALL CATWALK)
Location Description: IN THE CITY OF LOS ANGELES, AT SANTA MONICA VIADUCT (BR. NO. 53-1301). PAINT AND REHABILITATE BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Susana Facio
Structure Rep.: Nabil Shmara

Sample Information

DIME Sample ID: 2021-02-19-2
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 2/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 2/19/2021
The quantity of what the sample constitutes: 1500
A brief description of the sample: A325 Fastener Assembly
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Page Industrial

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s): 33631-190839
Washer Mfg. Lot Number(s): D9458
Bolt Specification: ASTM A325TC
Bolt Length(s): 1 3/4"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: Mechanical Galvanized
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: 33539-100203733
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-02-19-2-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 3/16/2021
Verified Date: 3/16/2021
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.: 1B
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 33539-100203733
Finish Coating: ASTM B695 - Mech Galv
Product Markings: A325TC USA
Size: .75 in
Bolt Length: 1.75 in
Gage Type: Pass