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Testing Report for 2018-08-16-1-4

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

Project Information

DEA: 024G5504
EFIS: 0214000036
Project ID: 212562
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-5-2.7/R11.4
Work Description: RECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS
Location Description: SISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nicole Mallory
Structure Rep.: Andrew Osullivan

Sample Information

DIME Sample ID: 2018-08-16-1
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 8/16/2018
Date that the sample was received by the laboratory/organization performing the testing: 8/16/2018
The quantity of what the sample constitutes: 3
A brief description of the sample: Treaded Bar
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Circle Corp

Material Information

Rocap Number(s):
Heat Number(s): 3080176
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s):
Bolt Specification: ASTM A529-14 Gr.-55
Bolt Length(s): 60"
Nut Specification: N/A
Washer Specification: N/A
Finish: ASTM A123
Diameter/Size: 2-1/2
Bolt Mfg. Lot Number: CMC Steel 3080176
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2018-08-16-1-4
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: 8/27/2018
Verified Date: 8/28/2018
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): 3080176
Mfg. Lot Number: no data
Finish Coating: Plain and ASTM F2329 - Hot Dip
Product Markings: YELLOW PAINT
Size: 2.5 in
Bolt Length: 60 in
Measurement Average: 6.1 mils