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Testing Report for 2017-12-11-8-1

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: 2017-12-11-8
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 12/11/2017
Date that the sample was received by the laboratory/organization performing the testing: 12/11/2017
The quantity of what the sample constitutes: 1 nut
A brief description of the sample: nut
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dyson

Material Information

Rocap Number(s):
Heat Number(s): 144801
Nut Mfg. Lot Number(s): DDRF
Washer Mfg. Lot Number(s):
Bolt Specification: NA
Bolt Length(s): Unknown
Nut Specification: A194
Washer Specification: NA
Finish: Plain
Diameter/Size: 1-1/2”
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s): None

Test Information

DIME Test ID: 2017-12-11-8-1
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Date Tested: 12/15/2017
Verified Date: 12/19/2017
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: Nut Proof
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of Samples: 1
Sample Bolt Mfg. Lot Number Size (in) Peak Load (lbf) Peak Load (kN) Comments Tested By
1A S28-370-17 1 1/2\" 248460 1105.21 Nut Proof Brian
UTM: 400KIP
Temperature: 72 F