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Testing Report for 2017-10-31-1-12

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

Project Information

DEA: 073X8704
EFIS: 0713000241
Project ID: 211796
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-105,405-R2.5,20.5/R21.1
Work Description: SLOPE RECONSTRUCTION AND PAVEMENT REPAIR
Location Description: LOS ANGELES COUNTY IN AND NEAR HAWTHORNE FROM EL SEGUNDO BOULEVARD UNDERCROSSING TO ROUTE 105/405 SEPARATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mashhur Ali
Structure Rep.: Frank Lotfi

Sample Information

DIME Sample ID: 2017-10-31-1
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: 10/31/2017
Date that the sample was received by the laboratory/organization performing the testing: 10/31/2017
The quantity of what the sample constitutes: 3
A brief description of the sample: F1554 Gr. 55
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Structural and Steel Products

Material Information

Rocap Number(s):
Heat Number(s): 3074489
Nut Mfg. Lot Number(s): DDBR Galvanized / W1381 Plain
Washer Mfg. Lot Number(s): 302919
Bolt Specification: F1554 Gr 55
Bolt Length(s): 50"
Nut Specification: A563
Washer Specification: F436
Finish: Galvanized / Plain
Diameter/Size: 2"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-10-31-1-12
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: 11/8/2017
Verified Date: 11/9/2017
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: 302919
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: WS
Size: 2 in
Bolt Length: no data
Measurement Average: 3.34 mils