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Testing Report for 2017-05-03-1-1

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

Project Information

DEA: 051J1304
EFIS: 0517000064
Project ID: 212164
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-1-45.52
Work Description: Pfeiffer Canyon Emergency Bridge Replacement Project
Location Description: Highway 1 at Pfeiffer State Park
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Tyler Lavering
Structure Rep.: David Galarza

Sample Information

DIME Sample ID: 2017-05-03-1
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 5/3/2017
Date that the sample was received by the laboratory/organization performing the testing: 5/5/2017
The quantity of what the sample constitutes: 75
A brief description of the sample: ST-70 Bridge Rail Hardware
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales

Material Information

Rocap Number(s):
Heat Number(s): NF16100930, CR10411640, 20388020, 21541940, 621391132, 21306330, 10432280
Nut Mfg. Lot Number(s): 15-40-006, 16-40-007
Washer Mfg. Lot Number(s): D1782, C7470D,
Bolt Specification: A325, A325, A449
Bolt Length(s): 3/4 X 5-1/2, 3/4 X 4-1/2, , , 7/8 X 18, ,
Nut Specification: A563, A563
Washer Specification: F436, F436,
Diameter/Size: 3/4, 3/4, 3/4, 3/4, 7/8, 7/8, 7/8
Bolt Mfg. Lot Number: BG0609, 762834, 28330
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-05-03-1-1
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 5/10/2017
Verified Date: 5/11/2017
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:
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): no data
Mfg. Lot Number: BG0609
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: A325 SL USA
Size: 0.75 in
Bolt Length: 5.5 in
Gage Type: Pass