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Testing Report for 2021-07-20-4-7

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

Project Information

DEA: 043G4424
EFIS: 0412000042
Project ID: 210037
QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-80-R5.6/7.6
Location Description: SFOBB WEST SPAN
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Tom Larwin
Structure Rep.: Sergio Gomez

Sample Information

DIME Sample ID: 2021-07-20-4
TL Number from the TL Form: C835671
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: 7/20/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/22/2021
The quantity of what the sample constitutes: 110 assemblies
A brief description of the sample: 1 1/8" x 7 1/2" A325 fasteners with Nuts and washers
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bay Bolt

Material Information

Rocap Number(s): 3407-01
Heat Number(s): Bolt-CR10377600 Nut 100897555 Washer A56619
Nut Mfg. Lot Number(s): Nucor 432090A
Washer Mfg. Lot Number(s): Technical Stamping 0618-887
Bolt Specification: A325
Bolt Length(s): 7 1/2"
Nut Specification: A563 Gr DH
Washer Specification: F436
Finish: Hot Dip Galvanized
Diameter/Size: 1 1/8"
Bolt Mfg. Lot Number: Fontana 753270
Rocap Test Requirement(s): yes
Lubricant Requirements(s): yes

Test Information

DIME Test ID: 2021-07-20-4-7
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 7/27/2021
Verified Date: 7/28/2021
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:
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Sample No.: 1B
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 432090A
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: DH N
Size: 1.125 in
Gage Type: Pass