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Testing Report for 2021-08-26-4-7

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.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Joaquin Rodriguez
Structure Rep.: Mike McCracken

Sample Information

DIME Sample ID: 2021-08-26-4
TL Number from the TL Form: C658226
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: 8/26/2021
Date that the sample was received by the laboratory/organization performing the testing: 9/2/2021
The quantity of what the sample constitutes: 988 assemblies
A brief description of the sample: A325 HDG Rocap Assembiy
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: unknown
The fabricator/manufacturer/facility name: CK Johnson Industries

Material Information

Rocap Number(s): 454658AR
Heat Number(s): Bolt Ht100208924 nut 8000007908 washer 101590
Nut Mfg. Lot Number(s): nucor 452568B
Washer Mfg. Lot Number(s): wrought- 12880
Bolt Specification: A325
Bolt Length(s): 3"
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 3/4" x 3"
Bolt Mfg. Lot Number: Nucor 454658A
Rocap Test Requirement(s): yes
Lubricant Requirements(s): yes

Test Information

DIME Test ID: 2021-08-26-4-7
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 9/7/2021
Verified Date: 9/9/2021
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.: 3B
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 452568B
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: DH N
Size: .750 in
Gage Type: Pass