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Testing Report for 2017-02-12-1-1

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

Project Information

DEA: 100L9704
EFIS: 1012000053
Project ID: 210097
QA Service Level: 1
DIST-CO-RTE-PM: 10-TUO-120-R19.5/R20.0
Work Description: REPLACE DECK AND RETROFIT BRIDGE.
Location Description: IN TUOLUMNE COUNTY ON STATE ROUTE 120 FROM 7.6 MILES EAST OF YOSEMITEJUNCTION TO 4.8 MILES WEST OF THE TOWN OF MOCCASIN AT TUOLUMNE RIVER/DON PEDRO RESERVOIR (JAMES E.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Corey Casey
Structure Rep.: Ehab Wahed

Sample Information

DIME Sample ID: 2017-02-12-1
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Verification
Type of Material: SMTL TM6 - Steel Check Sample Plate
Sample Taken Date: 2/12/2017
Date that the sample was received by the laboratory/organization performing the testing: 2/15/2017
The quantity of what the sample constitutes: 3
A brief description of the sample: Existing Steel Girder Sample
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown

Material Information

Heat Number(s): Unknown
Material Specification: A517
Grade: 100
Thickness: 1.55" 2.57" 1.53"
Shape: Round
Metal Foundry Manufacturer (Mill): Unknown
Plate Dimension: .750" Diameter

Test Information

DIME Test ID: 2017-02-12-1-1
Test Method: SMTL CHEM-16: Steel Chemistry Analysis
Date Tested: 2/16/2017
Verified Date: 2/21/2017
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: complies
Additional Comments When Verified :

Submitted Test Results

Result: Pass