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Testing Report for 2021-05-12-6-3

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

Project Information

DEA: 043G4744
EFIS: 0412000074
Project ID: 214590
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC,MRN-580-6.9/7.8,0.0/2.5
Work Description: CLEAN AND PAINT STRUCTURAL STEEL BRIDGE.
Location Description: CONTRA COSTA AND MARIN COUNTIES IN RICHMOND AND SAN RAFAEL FROM 0.8 MILE WEST OF TOLL PLAZA TO 0.1 MILE EAST OF MAIN STREET
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Behzad Halali
Structure Rep.: David Quintana

Sample Information

DIME Sample ID: 2021-05-12-6
TL Number from the TL Form:
Sample Submitted By Organization: Caltrans Vallejo Field Laboratory
Sample Organization Contact: (510) 774-6009
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 5/12/2021
Date that the sample was received by the laboratory/organization performing the testing: 5/26/2021
The quantity of what the sample constitutes: 700
A brief description of the sample: 2H Heavy Hex Nut
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name: San Rafael Bridge
The fabricator/manufacturer/facility name: Unytite

Material Information

Rocap Number(s):
Heat Number(s): 6215131902
Nut Mfg. Lot Number(s): 34157-6215131902
Washer Mfg. Lot Number(s):
Bolt Specification: n/a
Bolt Length(s):
Nut Specification: A563
Washer Specification: n/a
Finish: HDG
Diameter/Size: 1.0"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-05-12-6-3
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 5/27/2021
Verified Date: 5/27/2021
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.: 1B
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 34157-6215131902
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: U DH
Size: 1 in
Gage Type: Pass