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Testing Report for 2021-04-29-3-3

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

Project Information

DEA: 043J7004
EFIS: 0415000183
Project ID: 214973
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-80-4.5/R7.6
Work Description: CONCRETE BARRIER, LIGHTING, CIDH PILING AND CONCRETE SURFACE TEXTURE.
Location Description: ALAMEDA COUNTY IN BERKELEY AND ALBANY FROM ROUTE 13/80 SEPARATION NORTH TO 0.4 MILE EAST OF EL CERRITO SEPARATION AND OVERHEAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Gregory Carroll
Structure Rep.: Laraine Woo

Sample Information

DIME Sample ID: 2021-04-29-3
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: 4/29/2021
Date that the sample was received by the laboratory/organization performing the testing: 5/3/2021
The quantity of what the sample constitutes: 90
A brief description of the sample: anchor bolt
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Circle Corp

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: ASTM F1554 Grade 55
Bolt Length(s): 16"
Nut Specification: n/a
Washer Specification: n/a
Finish: Hot Dipped Galvanized
Diameter/Size: 1 1/4"
Bolt Mfg. Lot Number: 3102584
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-04-29-3-3
Test Method: ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Date Tested: 5/3/2021
Verified Date: 5/6/2021
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): 3102584
Mfg. Lot Number: no data
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: YELLOW
Size: 1.25 in
Bolt Length: 16 in
Pitch Diameter: 1.169 in
Pitch Diameter 2nd: 1.169 in