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Testing Report for 2021-05-12-26-2

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

Project Information

DEA: 041J5694
EFIS: 0419000313
Project ID: 214601
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-0.0/21.8
Work Description: Barrier modifications, overhead signs, freeway lighting and electronic toll system components
Location Description: SANTA CLARA AND SAN MATEO COUNTIES FROM 0.3 MILE NORTH OF SAN ANTONIO ROAD TO 0.3 MILE SOUTH OF GRAND AVENUE INTERCHANGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Douglas Inori
Structure Rep.: Tyler Pinell

Sample Information

DIME Sample ID: 2021-05-12-26
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
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: 5/25/2021
The quantity of what the sample constitutes: 1 lot of 14
A brief description of the sample: Bolt Assembly
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: OHSS
The fabricator/manufacturer/facility name: Structural and Steel Products

Material Information

Rocap Number(s): 410934AR
Heat Number(s): 100201738
Nut Mfg. Lot Number(s): 414845B
Washer Mfg. Lot Number(s): D9266
Bolt Specification: ASTM F3125, Gr. A325
Bolt Length(s): 2"
Nut Specification: ASTM A536, Grade DH
Washer Specification: ASTM F436
Finish: ASTM B695
Diameter/Size: 1/2"
Bolt Mfg. Lot Number: 432497A
Rocap Test Requirement(s): yes
Lubricant Requirements(s): yes

Test Information

DIME Test ID: 2021-05-12-26-2
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)
Date Tested: 5/27/2021
Verified Date: 6/3/2021
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 Load
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of Samples: 1
Sample Bolt Mfg. Lot Number Size (in) Peak Load (lbf) Peak Load (kN) Comments Tested By
1A 414845B 23024 Nut Proof Load spaine
UTM: 450kip
Temperature: 72 f