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Testing Report for 2018-05-15-4-1

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

Project Information

DEA: 120M4904
EFIS: 1212000090
Project ID: 211513
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-1.2/2.2
Work Description: WIDEN FWY AND BRIDGE AND CONSTRUCT RW, SOUND WALL, AND CONC BARRIERS.
Location Description: ORANGE COUNTY IN SAN CLEMENTE FROM 0.1 MILE NORTH OF AVENIDA MENDOCINO OVERCROSSING TO 0.2 MILE SOUTH OF AVENIDA PRESIDIO UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Steve Kinaly
Structure Rep.: Imad Karam

Sample Information

DIME Sample ID: 2018-05-15-4
TL Number from the TL Form: 102
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Acceptance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 5/15/2018
Date that the sample was received by the laboratory/organization performing the testing: 5/25/2018
The quantity of what the sample constitutes: 20
A brief description of the sample: A325 Fastener Assembly
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SLSB-IL

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: ASTM A325
Bolt Length(s): 2-3/4"
Nut Specification: A563
Washer Specification: F436
Finish: Mech. Galv
Diameter/Size: 7/8"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s): No
Lubricant Requirements(s): No

Test Information

DIME Test ID: 2018-05-15-4-1
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: 6/1/2018
Verified Date: 6/6/2018
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: Nut Proof Load
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 26790-6214342202 7/8\" 71289 317.11 Nut Proof Load Brian
UTM: 400KIP
Temperature: 72 F