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Testing Report for 2021-07-22-14-2

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: 2021-07-22-14
TL Number from the TL Form:
Sample Submitted By Organization: Caltrans Vallejo Field Laboratory
Sample Organization Contact: (510) 774-6009
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 7/22/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/30/2021
The quantity of what the sample constitutes: 500
A brief description of the sample: A325 HDG
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Portland Bolt

Material Information

Rocap Number(s): 128992A
Heat Number(s): 809116
Nut Mfg. Lot Number(s): 34664-212165
Washer Mfg. Lot Number(s): 0220-393
Bolt Specification: A325
Bolt Length(s): 8"
Nut Specification: A563
Washer Specification: F436
Finish: F2329
Diameter/Size: 1-1/8
Bolt Mfg. Lot Number: 128992A
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-07-22-14-2
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)
Date Tested: 8/2/2021
Verified Date: 8/3/2021
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: A563
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of Samples: 1
Sample Bolt Mfg. Lot Number Size (in) Peak Load (lbf) Peak Load (kN) Comments Tested By
1 2021-07-22-13 123459 A563 fsaylor
UTM: 450kip
Temperature: 72 f