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Testing Report for 2021-07-27-4-9

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: 2021-07-27-4
TL Number from the TL Form: c835674
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: 7/27/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/30/2021
The quantity of what the sample constitutes: 1061 ea 3/4" x 3"; 1269 ea 3/4"x 2.5"; 20 ea 3/4" x 3.5"
A brief description of the sample: 3/4" A325 HGD Fastener assemblies
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CK Johnson Industries

Material Information

Rocap Number(s): Bolt L713V1 Nut 452568E Washer 107492
Heat Number(s): bolt 10673770 nut 8000007907 washer 107492
Nut Mfg. Lot Number(s): 452568E
Washer Mfg. Lot Number(s): 9896
Bolt Specification: A325
Bolt Length(s): 2.5"
Nut Specification: A563 gr DH
Washer Specification: F436
Finish: Hot Dip Galvanized
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: L713V1
Rocap Test Requirement(s): yes
Lubricant Requirements(s): yes

Test Information

DIME Test ID: 2021-07-27-4-9
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 8/3/2021
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: 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): no data
Mfg. Lot Number: 452568E
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: DH N
Size: .75 in
Gage Type: Pass