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Testing Report for 2021-05-05-5-7

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

Project Information

Project ID: 212085 DEA: 07296604 EFIS: 0713000057 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: Pravin Patel Structure Rep.: Nabil Shmara

Sample Information

DIME Sample ID: 2021-05-05-5
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: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 05/05/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2021
The quantity of what the sample constitutes: 600
A brief description of the sample: High Strength Fastener Assemblies
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): 34058-201466
Washer Mfg. Lot Number(s): D9777
Bolt Specification: ASTM A325TC
Bolt Length(s): 2"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: Mechanical Galv. ASTM A153
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: 33959-10691170
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-05-05-5-1
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 06/02/2021
Date Tested: 05/11/2021
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: Nut Proof
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Sample No. 1E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 33959-10691170
Finish Coating ASTM B695 - Mech Galv
Product Markings A325TC USA
Size .875 in
Bolt Length 2 in
Pitch Diameter .804 in
Pitch Diameter 2nd no data in