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Testing Report for 2021-09-01-2-1

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: 2021-09-01-2
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: 600
A brief description of the sample: A 563-DH Nuts
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): 201522
Nut Mfg. Lot Number(s): DECR
Washer Mfg. Lot Number(s): na
Bolt Specification: na
Bolt Length(s): na
Nut Specification: A563-DH
Washer Specification: na
Finish: MG
Diameter/Size: 1.5"
Bolt Mfg. Lot Number: na
Rocap Test Requirement(s): na
Lubricant Requirements(s):

Test Information

DIME Test ID: 2021-09-01-2-1
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: 9/14/2021
Verified Date: 9/15/2021
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 DECR 217360 Nut Proof Load spaine
UTM: 450kip
Temperature: 72 f