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Testing Report for 2021-09-01-7-10

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

Project Information

DEA: 120N5804
EFIS: 1214000063
Project ID: 215471
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-57-15.0/15.5
Work Description: To improve Traffic Operation by Installing an overhead guide sign and roadside signs informing motorists of an upcoming mandatory exit ramp
Location Description: Orange County in the City of Anaheim, on southbound Route 57 between Lincoln Ave to E. La Palma Ave Undercrossing
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Fathi Safadi
Structure Rep.: charles leong

Sample Information

DIME Sample ID: 2021-09-01-7
TL Number from the TL Form: na
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: 9/1/2021
Date that the sample was received by the laboratory/organization performing the testing: 9/9/2021
The quantity of what the sample constitutes: 1296
A brief description of the sample: Anchor Bolt Hardware 2.25"
From where was the sample collected: Fabricator
Laboratory sample identification: na
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales, Inc

Material Information

Rocap Number(s): na
Heat Number(s): 207425570
Nut Mfg. Lot Number(s): DEDZ
Washer Mfg. Lot Number(s): na
Bolt Specification: na
Bolt Length(s): NA
Nut Specification: A563-DH
Washer Specification: na
Finish: HDG
Diameter/Size: 2.25"
Bolt Mfg. Lot Number: na
Rocap Test Requirement(s): na
Lubricant Requirements(s): Wax and Dye

Test Information

DIME Test ID: 2021-09-01-7-10
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Date Tested: 9/13/2021
Verified Date: 9/14/2021
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.: 1E
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: DEDZ
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: 2H DH D/N
Size: 2.25 in
Bolt Length: no data
Measurement Average: 5.12 mils