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Testing Report for 2017-06-20-3-13

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

Project Information

DEA: 030F3104
EFIS: 0300000078
Project ID: 211588
QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-49-23.6/24.5
Work Description: REPLACE BRIDGE.
Location Description: EL DORADO COUNTY NEAR COLOMA FROM 0.1 MILE EAST OF MARSHALL ROAD TO 0.3 MILE EAST OF LOTUS ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Jeff Hamm
Structure Rep.: Glen Wheeler

Sample Information

DIME Sample ID: 2017-06-20-3
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 6/20/2017
Date that the sample was received by the laboratory/organization performing the testing: 6/20/2017
The quantity of what the sample constitutes: 9 and 12
A brief description of the sample: 3/4 x 5 1/2 A325 bolt,nut,washer
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS

Material Information

Rocap Number(s): n/a
Heat Number(s): Bolt NF16100930, nut 20388020, FW 542102
Nut Mfg. Lot Number(s): Decker 15-40-006
Washer Mfg. Lot Number(s): D2020
Bolt Specification: A325
Bolt Length(s): 5 1/2"
Nut Specification: A563-DH
Washer Specification: F436
Finish: HDG
Diameter/Size: 3/4" x 5 1/2"
Bolt Mfg. Lot Number: G8505
Rocap Test Requirement(s): none
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-06-20-3-13
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 6/28/2017
Verified Date: 6/28/2017
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.: 1B
Rocap Number: no data
Heat Number(s): 166726
Mfg. Lot Number: 29866
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: A449 01AE
Size: .875 in
Bolt Length: 28 in
Gage Type: Pass