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Testing Report for 2021-07-08-9-10

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: 2021-07-08-9
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: 7/8/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/15/2021
The quantity of what the sample constitutes: 300
A brief description of the sample: A563-DH Heavy Hex Nut HDG
From where was the sample collected: Fabricator
Laboratory sample identification: na
Structure unique identifier:
Structure name: na
The fabricator/manufacturer/facility name: Universal Industrial Sales Inc

Material Information

Rocap Number(s): na
Heat Number(s): 191948
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: na
Bolt Length(s): na
Nut Specification: A563-DH
Washer Specification: na
Finish: HDG
Diameter/Size: 1-3/4"
Bolt Mfg. Lot Number: DEBW
Rocap Test Requirement(s): na
Lubricant Requirements(s): yes

Test Information

DIME Test ID: 2021-07-08-9-10
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Date Tested: 7/20/2021
Verified Date: 7/21/2021
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.: 1E
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: DEBW
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: DH D/N 2H
Size: 1.75 in
Bolt Length: no data
Measurement Average: 5.19 mils