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Testing Report for 2017-11-10-2-11

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

Project Information

DEA: 120M4904
EFIS: 1212000090
Project ID: 211513
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-1.2/2.2
Work Description: WIDEN FWY AND BRIDGE AND CONSTRUCT RW, SOUND WALL, AND CONC BARRIERS.
Location Description: ORANGE COUNTY IN SAN CLEMENTE FROM 0.1 MILE NORTH OF AVENIDA MENDOCINO OVERCROSSING TO 0.2 MILE SOUTH OF AVENIDA PRESIDIO UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Steve Kinaly
Structure Rep.: Imad Karam

Sample Information

DIME Sample ID: 2017-11-10-2
TL Number from the TL Form: C939725
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: 11/10/2017
Date that the sample was received by the laboratory/organization performing the testing: 11/15/2017
The quantity of what the sample constitutes: 300
A brief description of the sample: 3/4 in A307 Galvanized Anchor Rod
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ulmer Industries

Material Information

Rocap Number(s):
Heat Number(s): 278417
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: F1554
Bolt Length(s): 3'
Nut Specification: N/A
Washer Specification: N/A
Finish: HDG
Diameter/Size: 3/4
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-11-10-2-11
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: 11/15/2017
Verified Date: 11/16/2017
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.: 1B
Rocap Number: no data
Heat Number(s): 278417
Mfg. Lot Number: no data
Finish Coating: ASTM A153 - Hot Dip
Product Markings: A307 A
Size: .750 in
Bolt Length: 44 in
Measurement Average: 4.69 mils