Print Report | Back to Test Summary

Testing Report for 2017-12-14-6-7

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

Project Information

DEA: 083555V4
EFIS: 0814000086
Project ID: 210569
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-42.5/46.0
Work Description: WIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR.
Location Description: SAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Taghreed Al-Khateeb
Structure Rep.: Ravinder Singh

Sample Information

DIME Sample ID: 2017-12-14-6
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: 12/18/2017
The quantity of what the sample constitutes: 1 lot of 24
A brief description of the sample: Anchor Bolt Assembly
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: EDSCO Fasteners

Material Information

Rocap Number(s):
Heat Number(s): 171612, A164718, 3068113
Nut Mfg. Lot Number(s): W3217
Washer Mfg. Lot Number(s): 305406
Bolt Specification: F1554 Gr 55
Bolt Length(s): 4'-5"
Nut Specification: A194 Gr 2H
Washer Specification: F436
Finish: HDG
Diameter/Size: 1.75
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-12-14-6-7
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: 12/21/2017
Verified Date: 12/22/2017
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): no data
Mfg. Lot Number: W3217
Finish Coating: Plain and A153 and F2329
Product Markings: LSF 2H/DH
Size: 1.75 in
Bolt Length: no data
Measurement Average: 4.5 mils