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Testing Report for 2021-08-17-1-1

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

Project Information

DEA: STOCK
EFIS: STOCK
Project ID: 88888
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-17-1
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Stock
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 8/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/19/2021
The quantity of what the sample constitutes: 280
A brief description of the sample: 3/4" x 15" anchor bolt with 2" hook
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A and M Nut and Bolt

Material Information

Rocap Number(s): N/A
Heat Number(s): 3105261
Nut Mfg. Lot Number(s): 33576-201466
Washer Mfg. Lot Number(s): E0159
Bolt Specification: F1554 Gr.55
Bolt Length(s): 15"
Nut Specification: A194 Gr 2H
Washer Specification: F436
Finish: HDG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: 53549-PPO
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-08-17-1-1
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: 8/23/2021
Verified Date: 8/24/2021
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: Nut Proof Load
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
1A 33576-201466 58653 Nut Proof Load spaine
UTM: 400kip
Temperature: 72 f