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Testing Report for 2019-03-08-1-4

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

Project Information

DEA: 043G3054
EFIS: 0412000095
Project ID: 210719
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM,SM-92,84,92-15.3/15.5
Work Description: REPLACE NAVIGATION AND DECORATIVE LIGHTS, RADAR BEACONS AND FOGHORNS
Location Description: IN THE CITY AND COUNTY OF SAN FRANCISCO AND SAN MATEO COUNTY AT VARIOUS LOCATIONS (SFOBB West Span, San Mateo Bridge, and Dumbarton Bridge)
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Kingston Atako
Structure Rep.: Sergio Gomez

Sample Information

DIME Sample ID: 2019-03-08-1
TL Number from the TL Form:
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: 3/8/2019
Date that the sample was received by the laboratory/organization performing the testing: 3/8/2019
The quantity of what the sample constitutes: 1
A brief description of the sample: A325 Fastener Assembly
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Industrial Threaded Products

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: A325
Bolt Length(s): 2-1/4
Nut Specification: A563
Washer Specification: F436
Finish: Galvanized
Diameter/Size: 5/8
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2019-03-08-1-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 3/19/2019
Verified Date: 3/20/2019
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): no data
Mfg. Lot Number: 403053A
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: A325 N USA
Size: .625 in
Bolt Length: 2.25 in
Gage Type: Pass