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Testing Report for 2017-08-18-1-6

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

Project Information

DEA: 081C5104
EFIS: 0812000324
Project ID: 211988
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74-17.4/17.8
Work Description: CONSTRUCT VEHICLE RINSE FACILITY
Location Description: RIVERSIDE COUNTY IN AND NEAR LAKE ELSINORE AT THE ELSINORE MAINTENANCE STATION AND FROM DEXTER AVENUE TO CONRAD AVENUE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nick Truong
Structure Rep.: Hien Vu

Sample Information

DIME Sample ID: 2017-08-18-1
TL Number from the TL Form: C939703
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 8/18/2017
Date that the sample was received by the laboratory/organization performing the testing: 8/29/2017
The quantity of what the sample constitutes: 50
A brief description of the sample: 7/8 x 2-3/4 A325 TC Bolt assy
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Richardson Steel

Material Information

Rocap Number(s):
Heat Number(s): 20468400 Bolt 75063667 Nut 41542750 Washer
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: A325
Bolt Length(s): 2-3/4
Nut Specification: A563
Washer Specification: F436
Finish: MG
Diameter/Size: 7/8
Bolt Mfg. Lot Number: 4440771
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-08-18-1-6
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 8/31/2017
Verified Date: 8/31/2017
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.: 1D
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 24917-20468400
Finish Coating: ASTM B695 - Mech Galv
Product Markings: A325TC USA
Size: .875 in
Bolt Length: 2.75 in
Gage Type: Pass