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Testing Report for 2017-10-24-2-7

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

Project Information

DEA: 07215934
EFIS: 0700001833
Project ID: 7427
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-2.4/4.0
Work Description: Widen and Realign Freeway and Construct Ped OC, OC and UC Structures.
Location Description: LOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM 0.1 MILE NORTH OF CARMENITA ROAD OVERCROSSING TO 0.1 MILE NORTH OF SILVERBOW AVENUE PEDESTRIAN OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mashhur Ali
Structure Rep.: Steven Kim

Sample Information

DIME Sample ID: 2017-10-24-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: (510) 385-8178
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/24/2017
Date that the sample was received by the laboratory/organization performing the testing: 10/27/2017
The quantity of what the sample constitutes: 3
A brief description of the sample: ASTM A449 All Thread Rod
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Long Beach Iron Works

Material Information

Rocap Number(s):
Heat Number(s): 121423, 231465, DL1315929,
Nut Mfg. Lot Number(s): 333714A
Washer Mfg. Lot Number(s): 1411142A-1
Bolt Specification: ASTM 449
Bolt Length(s): 20"
Nut Specification: ASTM A563
Washer Specification: ASTM F436 HDG
Finish: HDG
Diameter/Size: Unknown
Bolt Mfg. Lot Number: 80784
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-10-24-2-7
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 10/30/2017
Verified Date: 10/31/2017
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.: 1A
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 333714A
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: DH N
Size: 1 in
Gage Type: Pass