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Testing Report for 2021-06-14-10-3

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

Project Information

DEA: 100X3104
EFIS: 1013000265
Project ID: 214922
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-99-16.8/17.6
Work Description: REPLACE BRIDGE.
Location Description: SAN JOAQUIN COUNTY IN STOCKTON FROM 0.4 MILE SOUTH TO 0.4 MILE NORTH OF FARMINGTON ROAD OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: David Abledu
Structure Rep.: Daniel Laureno

Sample Information

DIME Sample ID: 2021-06-14-10
TL Number from the TL Form: na
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: 6/14/2021
Date that the sample was received by the laboratory/organization performing the testing: 6/14/2021
The quantity of what the sample constitutes: 465
A brief description of the sample: A449 Fully threaded Rod, HDG
From where was the sample collected: Fabricator
Laboratory sample identification: na
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales Inc

Material Information

Rocap Number(s): na
Heat Number(s): 10658640
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: na
Bolt Length(s): 12"
Nut Specification: na
Washer Specification: na
Finish: HDG
Diameter/Size: 5/8"
Bolt Mfg. Lot Number: 33972
Rocap Test Requirement(s): na
Lubricant Requirements(s): na

Test Information

DIME Test ID: 2021-06-14-10-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 7/1/2021
Verified Date: 7/1/2021
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.: 1A
Rocap Number: no data
Heat Number(s): 10658640
Mfg. Lot Number: 33972
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: A449
Size: .625 in
Bolt Length: 12 in
Gage Type: Pass