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Testing Report for 2018-08-24-2-9

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

Project Information

DEA: 07288604
EFIS: 0700021080
Project ID: 208945
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-710-6.0-9.4
Work Description: Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location Description: Port of Long Beach (District 7)
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer:
Structure Rep.:

Sample Information

DIME Sample ID: 2018-08-24-2
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: 8/24/2018
Date that the sample was received by the laboratory/organization performing the testing: 8/24/2018
The quantity of what the sample constitutes: 19
A brief description of the sample: 1-1/4 A490 Bolt
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Gerald Desmond Bridge

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s): 27106-6214347903Z / 27807-6214552009Z
Washer Mfg. Lot Number(s): D3644-114Z
Bolt Specification: A490
Bolt Length(s): 9", 9-1/2", 10-1/2", and 7"
Nut Specification: A563-DH
Washer Specification: F436
Finish: Galvanized
Diameter/Size: 1-1/4
Bolt Mfg. Lot Number: 032918-1CGZ
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2018-08-24-2-9
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 9/5/2018
Verified Date: 9/6/2018
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:
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: 28207-10537450
Finish Coating: ASTM F1136 - Dachromet or Geomet
Product Markings: A490 USA
Size: 1.250 in
Bolt Length: 7 in
Gage Type: Pass