Print Report | Back to Test Summary

Testing Report for 2021-03-05-5-6

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

Project Information

DEA: 030H5204
EFIS: 0315000202
Project ID: 215032
QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-0.0/80.4
Work Description: INSTALL CMS, CAMERA SYSTEMS AND TMS ELEMENTS.
Location Description: EL DORADO COUNTY AT VARIOUS LOCATIONS FROM THE SACRAMENTO COUNTY LINE TO CALIFORNIA/NEVADA STATE LINE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Juanah Koker
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-03-05-5
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 3/5/2021
Date that the sample was received by the laboratory/organization performing the testing: 3/15/2021
The quantity of what the sample constitutes: 171 anchor bolt assemblies
A brief description of the sample: Anchor bolt 2.25" x 55" F1554-55 HDG
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Madden Bolt

Material Information

Rocap Number(s):
Heat Number(s): 58043509 06
Nut Mfg. Lot Number(s): DECC / 201206
Washer Mfg. Lot Number(s): 109259
Bolt Specification: ASTM F1554
Bolt Length(s): 55"
Nut Specification: ASTM A194
Washer Specification: F436
Finish: HDG
Diameter/Size: 2.25"
Bolt Mfg. Lot Number: 58043509/06
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-03-05-5-6
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 3/23/2021
Verified Date: 3/24/2021
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.: 1A
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: DECC
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: 2H DH D/N
Size: 2.25 in
Gage Type: Pass