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Testing Report for 2018-05-17-1-5

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

Project Information

DEA: 044K8504
EFIS: 0417000378
Project ID: 212354
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-1-22.8
Work Description: Giacomini Creek Bridge, Construct sheet pile wall, replace culvert
Location Description: ROUTE 1, AT POSTMILE 22.8, NEAR BOLINAS, AT 0.52 MILES NORTH OF HORSESHOE HILL RD., MARIN COUNTY SLIPOUT, CONSTRUCT SOLDIER PILE WALL
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Steve Russell
Structure Rep.: Jeremy Light

Sample Information

DIME Sample ID: 2018-05-17-1
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: 5/17/2018
Date that the sample was received by the laboratory/organization performing the testing: 5/21/2018
The quantity of what the sample constitutes: Unknown
A brief description of the sample: A325
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Portland

Material Information

Rocap Number(s):
Heat Number(s): 3065481, 171756,
Nut Mfg. Lot Number(s): 26764-177400
Washer Mfg. Lot Number(s): 0917-632
Bolt Specification: F3125
Bolt Length(s): 19-1/2
Nut Specification: A563DH
Washer Specification: F436
Finish: HDG
Diameter/Size: 7/8
Bolt Mfg. Lot Number: 18571
Rocap Test Requirement(s): No
Lubricant Requirements(s): Yes

Test Information

DIME Test ID: 2018-05-17-1-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 5/24/2018
Verified Date: 5/24/2018
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.: 1A
Rocap Number: no data
Heat Number(s): 3065481
Mfg. Lot Number: no data
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: A325S PB
Size: .875 in
Bolt Length: 19.5 in
Gage Type: Pass