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Testing Report for 2021-06-11-3-6

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

Project Information

Project ID: 88888 DEA: STOCK EFIS: STOCK QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-11-3
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: Stock
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 06/11/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/16/2021
The quantity of what the sample constitutes: 191
A brief description of the sample: anchor bolt assemblies
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A M Nut and Bolt

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s): 34490-202001
Washer Mfg. Lot Number(s): D9791
Bolt Specification: ASTM F1544
Bolt Length(s): 42"
Nut Specification: ASTM A194 Heavy Hex Nut, Grade 2H
Washer Specification: ASTM F436
Finish: Hot Dip Galvanized
Diameter/Size: 1 1/2"
Bolt Mfg. Lot Number: 3102582
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-06-11-3-1
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: 06/16/2021
Date Tested: 06/16/2021
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: A194 Nut Proof
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 34490-202001
Finish Coating ASTM F2329 - Hot Dip
Product Markings U 2H ZN
Size 1.5 in
Gage Type Pass