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Testing Report for 2017-03-28-1-3

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

Project Information

DEA: 043G4864
EFIS: 0412000086
Project ID: 210041
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-92-14.4/18.8
Work Description: CLEAN AND PAINT STRUCTURAL STEEL ON BRIDGE
Location Description: IN SAN MATEO AND ALAMEDA COUNTIES ON ROUTE 92 AT SAN MATEO HAYWARD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Minh Hinh
Structure Rep.: Bryan Chew

Sample Information

DIME Sample ID: 2017-03-28-1
TL Number from the TL Form:
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: 3/28/2017
Date that the sample was received by the laboratory/organization performing the testing: 3/30/2017
The quantity of what the sample constitutes: 125
A brief description of the sample: 1-8 x 3 Heavy Hex bolt
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Bolt

Material Information

Rocap Number(s): L1412021
Heat Number(s): 1444030 166642 11606780
Nut Mfg. Lot Number(s): 24618-166642
Washer Mfg. Lot Number(s): D2553
Bolt Specification: A325
Bolt Length(s): 3"
Nut Specification: A563 DH
Washer Specification: F436
Finish: Mech Galv
Diameter/Size: 1"
Bolt Mfg. Lot Number: 773938
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-03-28-1-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 4/3/2017
Verified Date: 4/4/2017
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

Test Temperature (F): 72 °F
Sample No.: 1A
Rocap Number: L1412021
Heat Number(s): no data
Mfg. Lot Number: 773938
Finish Coating: ASTM B695 - Mech Galv
Product Markings: A325 LE USA
Size: 1 in
Bolt Length: 3 in
Gage Type: Pass