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Testing Report for 2017-10-13-4-10

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

Project Information

DEA: 080G8424
EFIS: 0814000184
Project ID: 211797
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-R107.3
Work Description: UPGRADE EXISTING SAFETY ROADSIDE REST AREAS (SRRA)
Location Description: SAN BERNARDINO COUNTY ABOUT 30 MILES EAST OF BARSTOW AT C.V. KANE SAFETY ROADSIDE REST AREA
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Khoa Nguyen
Structure Rep.: Leonard J Romero

Sample Information

DIME Sample ID: 2017-10-13-4
TL Number from the TL Form: C939721
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: 10/13/2017
Date that the sample was received by the laboratory/organization performing the testing: 10/17/2017
The quantity of what the sample constitutes: 1060 nuts 530 washers
A brief description of the sample: 3/4 HDG Nuts and Washers
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bristol Machine

Material Information

Rocap Number(s):
Heat Number(s): Nuts-6214341902 washer-C79068
Nut Mfg. Lot Number(s): 25764-6214341902
Washer Mfg. Lot Number(s): 115945
Bolt Specification: n/a
Bolt Length(s): Unknown
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-10-13-4-10
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: 10/18/2017
Verified Date: 10/19/2017
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: 115945
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: B
Size: .750 in
Bolt Length: no data
Measurement Average: 5.31 mils