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Testing Report for 2021-04-13-1-6

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

Project Information

DEA: 010A1204
EFIS: 0113000109
Project ID: 214893
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-96,101-VAR
Work Description: PARTIAL BRIDGE REMOVAL, SEISMIC RETROFIT AND RECONSTRUCT GUARDRAIL.
Location Description: HUMBOLDT COUNTY AT VARIOUS LOCATIONS
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Brian Winter
Structure Rep.: Jacob Hurd

Sample Information

DIME Sample ID: 2021-04-13-1
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: 4/13/2021
Date that the sample was received by the laboratory/organization performing the testing: 4/16/2021
The quantity of what the sample constitutes: 46 ea.
A brief description of the sample: 7/8 X 2-1/2 A-325 HSB Assy
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CK Johnson Industries

Material Information

Rocap Number(s): 451009AR
Heat Number(s): 1000105995
Nut Mfg. Lot Number(s): 444695A
Washer Mfg. Lot Number(s): 105594 6130
Bolt Specification: A-325
Bolt Length(s): 2-1/2"
Nut Specification: A-563
Washer Specification: F-436
Finish: Galv
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: 451009A
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-04-13-1-6
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Date Tested: 12/31/1969
Verified Date: 4/21/2021
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: 6130
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: WS
Size: .875 in
Bolt Length: no data
Measurement Average: 5.34 mils