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Testing Report for 2019-07-16-1-1

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

Project Information

DEA: 07121844
EFIS: 0700000117
Project ID: 3807
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-42.8/47.3
Work Description: CONSTRUCT HOV LANES, RETAINING WALLS AND SOUND WALLS.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES, GLENDALE, AND BURBANK FROM ROUTE 5/134 SEPARATION TO MAGNOLIA BOULEVARD OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: James Shih
Structure Rep.: Matthew Remo

Sample Information

DIME Sample ID: 2019-07-16-1
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: 7/16/2019
Date that the sample was received by the laboratory/organization performing the testing: 7/22/2019
The quantity of what the sample constitutes: 235
A brief description of the sample: A325 HDG Rocap Assembiy
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Industrial Bolt and Supply

Material Information

Rocap Number(s): 00801
Heat Number(s): 100797100 Bolt 100894221 Nut 31835900 Washer
Nut Mfg. Lot Number(s): 414844C
Washer Mfg. Lot Number(s): 1218-042
Bolt Specification: A325
Bolt Length(s): 1-3/4"
Nut Specification: A194-2H
Washer Specification: F436
Finish: Hot Dip Galvanized
Diameter/Size: 1/2"
Bolt Mfg. Lot Number: 420156A
Rocap Test Requirement(s): Yes
Lubricant Requirements(s): Yes

Test Information

DIME Test ID: 2019-07-16-1-1
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: 7/23/2019
Verified Date: 7/25/2019
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: 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 414844C 1/2\" 21525 95.75 Nut Proof Load Steve
UTM: 400KIP
Temperature: 72 F