Print Report | Back to Test Summary

Testing Report for 2017-02-21-1-1

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

Project Information

DEA: 07215954
EFIS: 0700001835
Project ID: 209141
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-0.0/7.6
Work Description: WIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location Description: LOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Thang Ton
Structure Rep.: Amare Tsagie

Sample Information

DIME Sample ID: 2017-02-21-1
TL Number from the TL Form: C953187
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Acceptance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 2/21/2017
Date that the sample was received by the laboratory/organization performing the testing: 2/22/2017
The quantity of what the sample constitutes: 9
A brief description of the sample: A449 Bolt, Nut, Washer.
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Portland Bolt

Material Information

Rocap Number(s):
Heat Number(s): 3065481
Nut Mfg. Lot Number(s): 23468-75062745
Washer Mfg. Lot Number(s): 0616-264
Bolt Specification: ASTM A449
Bolt Length(s): 16.375
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: ASTM A153/F2329 - Hot Dip
Diameter/Size: 0.875
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-02-21-1-1
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 2/23/2017
Verified Date: 2/23/2017
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:
Additional Comments When Verified :

Submitted Test Results

Sample No.: 1A
Rocap Number: no data
Heat Number(s): 3065481
Mfg. Lot Number: no data
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: A449 PB
Size: 0.875 in
Bolt Length: 16.375 in
Gage Type: Pass