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Testing Report for 2017-11-06-8-11

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

Project Information

DEA: 08368514
EFIS: 0813000077
Project ID: 211889
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-81.1/87.5&177.3/181.1
Work Description: CONSTRUCT AIF AND DEMOLISH EXISTING AIF IN YERMO
Location Description: SAN BERNARDINO COUNTY FROM 0.6 MILE NORTH OF YERMO ROAD OVERCROSSING TO 1.0 MILE SOUTH OF MINNEOLA ROAD OVERCROSSING AND FROM 1.2 MILE NORTH OF NIPTON ROAD OVERCROSSING TO 0.5 MILE SOUTH OF YATES WELL ROAD OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Darcy Davis
Structure Rep.: Luis Negrete

Sample Information

DIME Sample ID: 2017-11-06-8
TL Number from the TL Form: C719147
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 11/6/2017
Date that the sample was received by the laboratory/organization performing the testing: 11/15/2017
The quantity of what the sample constitutes: 1
A brief description of the sample: F1554 grade 55 anchor assemble
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: EDSCO

Material Information

Rocap Number(s):
Heat Number(s): 109309, 3070316
Nut Mfg. Lot Number(s): DOTL5DDTL6
Washer Mfg. Lot Number(s): 242302
Bolt Specification: ASTM A529-14
Bolt Length(s): 4'-5"
Nut Specification: ASTM A563-07a
Washer Specification: ASTM A153
Finish: HDG
Diameter/Size: 1-1/2"
Bolt Mfg. Lot Number: 72096304
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-11-06-8-11
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: 11/16/2017
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.: 1A
Rocap Number: no data
Heat Number(s): 3070316
Mfg. Lot Number: no data
Finish Coating: Plain and ASTM F2329 - Hot Dip
Product Markings: YELLOW PAINT
Size: 1.50 in
Bolt Length: 54 in
Measurement Average: 6.36 mils