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Testing Report for 2018-02-01-4-8

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

Project Information

Project ID: 209146 DEA: 06471504 EFIS: 0600000464 COOP: 061549 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-39.6/41.3
Work Description: RECONSTRUCT INTERCHANGE WITH NEW PUMPING PLANT.
Location Description: TULARE COUNTY AT GOSHEN FROM 0.9 MILE NORTH OF ROUTE 99/198 WEST SEPARATION TO 0.2 MILE NORTH OF NORTH GOSHEN OVERHEAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Brent Haroldsen Structure Rep.: Peter Moua

Sample Information

DIME Sample ID: 2018-02-01-4
TL Number from the TL Form: Unknown
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: 02/01/2018
Date that the sample was received by the laboratory/organization performing the testing: 02/05/2018
The quantity of what the sample constitutes: 24
A brief description of the sample: F1154-55 Anchor Bolts
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SSP Fort Worth

Material Information

Rocap Number(s): N/A
Heat Number(s): 58031538
Nut Mfg. Lot Number(s): W1153, DDBR
Washer Mfg. Lot Number(s): 305358
Bolt Specification: F1554-55
Bolt Length(s): 40''
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 2''
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2018-02-01-4-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 02/20/2018
Date Tested: 02/15/2018
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W1153
Finish Coating ASTM F2329 - Hot Dip
Product Markings DN 2H DH
Size 2 in
Gage Type Pass