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Testing Report for 2017-10-16-1-14

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

Project Information

DEA: 06471504
EFIS: 0600000464
Project ID: 209146
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-39.6/41.3
Work Description: RECONSTRUCT INTERCHANGE WITH NEW PUMPING PLANT.
Location Description: TULARE COUNTY AT GOSHEN FROM 0.9 MILE NORTH OF ROUTE 99/198 WEST SEPARATION TO 0.2 MILE NORTH OF NORTH GOSHEN OVERHEAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Brent Haroldsen
Structure Rep.: Peter Moua

Sample Information

DIME Sample ID: 2017-10-16-1
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/16/2017
Date that the sample was received by the laboratory/organization performing the testing: 10/23/2017
The quantity of what the sample constitutes: 3
A brief description of the sample: 1 X 12 Anchor Rod
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CK Johnson Industries

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s): 26307
Washer Mfg. Lot Number(s): 0517-523
Bolt Specification: F1554 Gr. 150
Bolt Length(s): 12
Nut Specification: A563 DH
Washer Specification: F436
Finish: HDG
Diameter/Size: 1
Bolt Mfg. Lot Number: 75065295
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-10-16-1-14
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: 10/25/2017
Verified Date: 10/26/2017
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.: 1A
Rocap Number: no data
Heat Number(s): 750625295
Mfg. Lot Number: no data
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: RED PAINT
Size: 1 in
Bolt Length: 12 in
Measurement Average: 6.46 mils