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Testing Report for 2021-09-17-9-3

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

Project Information

DEA: 024F5904
EFIS: 0213000010
Project ID: 214099
QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-5-R25.4
Work Description: BRIDGE SEISMIC RETROFIT AND SCOUR REPAIR.
Location Description: TEHAMA COUNTY IN RED BLUFF AT SACRAMENTO RIVER BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mike Z'denek
Structure Rep.: Ryan Duran

Sample Information

DIME Sample ID: 2021-09-17-9
TL Number from the TL Form: C658229
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: 9/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 9/21/2021
The quantity of what the sample constitutes: 265 ea
A brief description of the sample: 7/8 " dia A325 HDG Fastener assemblies
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: C K Johnson

Material Information

Rocap Number(s): 447037AR
Heat Number(s): Bolt- 100205634 Nut- 800008882 Washer- 102021060
Nut Mfg. Lot Number(s): Nucor- 453592A
Washer Mfg. Lot Number(s): Technical Stamping- D9779
Bolt Specification: F3125- A325-1
Bolt Length(s): 2 1/2"
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 7/8 " x 2 1/2"
Bolt Mfg. Lot Number: Nucor- 447034A
Rocap Test Requirement(s): yes
Lubricant Requirements(s): yes

Test Information

DIME Test ID: 2021-09-17-9-3
Test Method: ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Date Tested: 9/27/2021
Verified Date: 9/28/2021
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.: 1B
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 447034A
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: A325 USA N
Size: .875 in
Bolt Length: 2.5 in
Pitch Diameter: .821 in
Pitch Diameter 2nd: .821 in