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Testing Report for 2017-12-14-4-6

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

Project Information

DEA: 100X9104
EFIS: 1013000041
Project ID: 212312
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ,TUO,STA-4,120,132-Var
Work Description: MITIGATING SCOUR, PLACING ROCK SLOPE PROTECTION,AND REPAIRING
Location Description: SAN JOAQUIN,STANISLAUS, AND TUOLUMNE COUNTIES AT VARIOUS LOCATIONS.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Quan Trinh
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-12-14-4
TL Number from the TL Form:
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: 12/14/2017
Date that the sample was received by the laboratory/organization performing the testing: 12/14/2017
The quantity of what the sample constitutes: 27
A brief description of the sample: Threaded Bar
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Portland Bolt

Material Information

Rocap Number(s):
Heat Number(s): 073417
Nut Mfg. Lot Number(s): 17-40-005
Washer Mfg. Lot Number(s):
Bolt Specification: A563 Grade A
Bolt Length(s): 42"
Nut Specification: 36
Washer Specification: NA
Finish: F2329 / A153
Diameter/Size: .750
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-12-14-4-6
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: 12/14/2017
Verified Date: 12/14/2017
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): 073417
Mfg. Lot Number: no data
Finish Coating: Plain and ASTM F2329 - Hot Dip
Product Markings: no data
Size: .750 in
Bolt Length: 42 in
Measurement Average: 4.5 mils