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Testing Report for 2017-06-28-7-7

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

Project Information

DEA: 120H2434
EFIS: 1214000038
Project ID: 211371
QA Service Level: 1
DIST-CO-RTE-PM: 12-LA,ORA-91-R20.6/R20.7,R0.0/R2.8
Work Description: INSTALL FIBER OPTIC CABLE & CCTVS
Location Description: ORANGE AND LOS ANGELES COUNTIES IN LA PALMA, BUENA PARK AND CERRITOS FROM 0.1 MILE WEST OF LOS ANGELES COUNTY LINE TO STANTON AVENUE UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Danh Thai
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-06-28-7
TL Number from the TL Form: C719140
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 6/28/2017
Date that the sample was received by the laboratory/organization performing the testing: 6/30/2017
The quantity of what the sample constitutes: 1
A brief description of the sample: F1554 anchor rod
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: EDSCO

Material Information

Rocap Number(s):
Heat Number(s): 3064247
Nut Mfg. Lot Number(s): W1741, DCRO
Washer Mfg. Lot Number(s): 283367
Bolt Specification: F1554 Gr55
Bolt Length(s): 4'-6"
Nut Specification: A194
Washer Specification: F436
Finish: HDG / Plain
Diameter/Size: 2.25"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-06-28-7-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Date Tested: 7/6/2017
Verified Date: 7/7/2017
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.: 2A
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: W1741
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: LSF 2H/DH
Size: 2.25 in
Bolt Length: no data
Hardness Reading Scale: C Scale
Hardness Reading Average: 29.23
Spacing: Ok