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Testing Report for 2017-06-14-6-7

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

Project Information

DEA: 022C0904
EFIS: 0200000161
Project ID: 211669
QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-70-50.6/51.7
Work Description: BRIDGE WIDENING AND DECK REPLACEMENT, HMA, MGS AND CULVERT REPLACEMENT
Location Description: PLUMAS COUNTY NEAR QUINCY FROM 0.6 MILE WEST TO 0.5 MILE EAST OF SPRING GARDEN BRIDGE OVERHEAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Ronald Collins
Structure Rep.: Jeffrey Rothgery

Sample Information

DIME Sample ID: 2017-06-14-6
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: 6/14/2017
Date that the sample was received by the laboratory/organization performing the testing: 6/20/2017
The quantity of what the sample constitutes: 8
A brief description of the sample: A563-DH HDG Nut
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):
Heat Number(s): 10387930
Nut Mfg. Lot Number(s): 15-01-005
Washer Mfg. Lot Number(s):
Bolt Specification: n/a
Bolt Length(s): Unknown
Nut Specification: A563-DH
Washer Specification: n/a
Finish: HDG
Diameter/Size: 1/2"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-06-14-6-7
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
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.: 6C
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 15-01-005
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: DMC DH
Size: .5 in
Bolt Length: no data
Measurement Average: 5.44 mils