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Testing Report for 2021-07-16-26-8

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

Project Information

DEA: 010E7704
EFIS: 0115000009
Project ID: 214402
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-R17.9/87.8
Work Description: STRENGTHEN 2 BRIDGES.
Location Description: HUMBOLDT COUNTY AT SOUTH FORK EEL RIVER AND SEPARATION AND AT ARCATA OVERHEAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Joaquin Rodriguez
Structure Rep.: Kari Forbes

Sample Information

DIME Sample ID: 2021-07-16-26
TL Number from the TL Form: C8356670
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: 7/16/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/21/2021
The quantity of what the sample constitutes: 2138 assemblies total
A brief description of the sample: 1", 3/4" and 5/8" A325 HDG fastener assemblies
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: various
The fabricator/manufacturer/facility name: CK Johnson Industries

Material Information

Rocap Number(s): 446304AR
Heat Number(s): Bolt 100105518 Nut 8000007908 Washer 215060
Nut Mfg. Lot Number(s): 452568C
Washer Mfg. Lot Number(s): 215060
Bolt Specification: A325 Hvy Hex HDG
Bolt Length(s): 3"
Nut Specification: F563 DH HDG
Washer Specification: F436 HDG
Finish: Hot Dip Galvanized
Diameter/Size: 3/4" dia
Bolt Mfg. Lot Number: 446304A
Rocap Test Requirement(s): yes
Lubricant Requirements(s): yes

Test Information

DIME Test ID: 2021-07-16-26-8
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 7/26/2021
Verified Date: 7/26/2021
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.: 1C
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 452568C
Finish Coating: Plain and ASTM F2329 - Hot Dip
Product Markings: DH N
Size: 0.75 in
Gage Type: Pass