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Testing Report for 2021-05-05-7-3

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

Project Information

Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 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: Clayton Malmberg (cc in email) Structure Rep.: Bryan Keene

Sample Information

DIME Sample ID: 2021-05-05-7
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: 05/05/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/13/2021
The quantity of what the sample constitutes: 112
A brief description of the sample: ASTM A449 All Thread 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): A202595
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: ASTM A449
Bolt Length(s): 3'7"
Nut Specification: na
Washer Specification: na
Finish: HDG
Diameter/Size: 1.125
Bolt Mfg. Lot Number: 10937
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-05-05-7-1
Test Method: ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 05/26/2021
Date Tested: 05/19/2021
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. 1C
Rocap Number no data
Heat Number(s) A202595
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings A449
Size 1.125 in
Bolt Length 43 in
Pitch Diameter 1.045 in
Pitch Diameter 2nd no data in