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Testing Report for 2017-12-14-30-1

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

Project Information

DEA: 044K7104
EFIS: 0417000340
Project ID: 212205
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-35-9.5
Work Description: construct tie-back wall
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Moaid Laymoun
Structure Rep.: Dave Nguyen

Sample Information

DIME Sample ID: 2017-12-14-30
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: 12/14/2017
Date that the sample was received by the laboratory/organization performing the testing: 12/14/2017
The quantity of what the sample constitutes: 3 from lot of 18
A brief description of the sample: 1/2 x 4 bolt
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS

Material Information

Rocap Number(s):
Heat Number(s): nf15203956
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: A325
Bolt Length(s): 4
Nut Specification: N/a
Washer Specification: N/A
Finish: HDG
Diameter/Size: 1/2
Bolt Mfg. Lot Number: St Louis Screw
Rocap Test Requirement(s): No
Lubricant Requirements(s): No

Test Information

DIME Test ID: 2017-12-14-30-1
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 with Wedge)
Date Tested: 12/18/2017
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:
Organization Phone: (916) 227-7253
General Comments for this Test: A325
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of Bolt Samples: 1
Sample Bolt Mfg. Lot Number Size (in) Peak Load (lbf) Peak Load (kN) Wedge Angle (deg) Comments Tested By
1A S28-380-17 1/2\" 20041 89.1 10 A325 Brian
Temperature: no data