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Testing Report for 2019-10-30-2-9

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

Project Information

DEA: 080J0804
EFIS: 0800000283
Project ID: 210837
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-34.7/51.6
Work Description: (Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT
Location Description: Riverside County and SBD-15-0.0/1.3
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Roy Fisher (reports)
Structure Rep.: Roy Fisher

Sample Information

DIME Sample ID: 2019-10-30-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/30/2019
Date that the sample was received by the laboratory/organization performing the testing: 11/1/2019
The quantity of what the sample constitutes: 24
A brief description of the sample: A325 Bolts
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SLSB

Material Information

Rocap Number(s):
Heat Number(s): 20372980 20403620 188648 284755 172978
Nut Mfg. Lot Number(s): 29747-S-188648
Washer Mfg. Lot Number(s): D7245 01339A
Bolt Specification: A325
Bolt Length(s): 6"
Nut Specification: A563
Washer Specification: F436 F959 DTI
Finish: MG
Diameter/Size: 1"
Bolt Mfg. Lot Number: BM0169 BM0269
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2019-10-30-2-9
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 11/5/2019
Verified Date: 11/5/2019
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: BM0169
Finish Coating: ASTM B695 - Mech Galv
Product Markings: A325 USA SL
Size: 1 in
Bolt Length: 6 in
Gage Type: Pass