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Testing Report for 2021-04-21-5-2

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

Project Information

DEA: 010B0904
EFIS: 0100020444
Project ID: 214579
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-8.2/8.7
Work Description: BRIDGE REPLACEMENT
Location Description: DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Ryan Dunne
Structure Rep.: Bryan Keene

Sample Information

DIME Sample ID: 2021-04-21-5
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Acceptance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 4/21/2021
Date that the sample was received by the laboratory/organization performing the testing: 4/26/2021
The quantity of what the sample constitutes: 64
A brief description of the sample: 1inch F1554 Gr36 Anchor Rod
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Thompson Metal Fab

Material Information

Rocap Number(s):
Heat Number(s): 1202027710
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: F1554 Gr 36
Bolt Length(s):
Nut Specification: N/A
Washer Specification: N/A
Finish: HDG
Diameter/Size: 1
Bolt Mfg. Lot Number: 120202771061
Rocap Test Requirement(s): No
Lubricant Requirements(s): No

Test Information

DIME Test ID: 2021-04-21-5-2
Test Method: ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Date Tested: 4/27/2021
Verified Date: 4/28/2021
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): 1202027710
Mfg. Lot Number: no data
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: BLUE PAINT
Size: 1 in
Bolt Length: 43 in
Pitch Diameter: .928 in
Pitch Diameter 2nd: no data