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Testing Report for 2017-08-30-7-8

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

Project Information

DEA: 09356104
EFIS: 0912000044
Project ID: 211800
QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-34.1
Work Description: CONSTRUCT MAINTENANCE EQUIPMENT STORAGE BUILDING AND SITE WORK.
Location Description: BUILDING CONSTRUCTION ADJACENT TO STATE HIGHWAY IN MONO COUNTY AT CRESTVIEW AT THE CRESTVIEW SATELLITE MAINTENANCE STATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Joseph Blommer
Structure Rep.: Alan Dever

Sample Information

DIME Sample ID: 2017-08-30-7
TL Number from the TL Form: C741436
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: 8/30/2017
Date that the sample was received by the laboratory/organization performing the testing: 9/6/2017
The quantity of what the sample constitutes: 5
A brief description of the sample: Washers
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Portland Bolt

Material Information

Rocap Number(s):
Heat Number(s): PL17200423
Nut Mfg. Lot Number(s): 25163-75065075
Washer Mfg. Lot Number(s): 1216-412
Bolt Specification: F1554 Gr 36
Bolt Length(s): 18
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: .625
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-08-30-7-8
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 9/8/2017
Verified Date: 9/11/2017
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: 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): PL17200423
Mfg. Lot Number: no data
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: BLUE PAINT
Size: .625 in
Bolt Length: 18 in
Gage Type: Pass