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Testing Report for 2019-12-11-28-4

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

Project Information

DEA: 07325704
EFIS: 0716000089
Project ID: 213741
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-1.7
Location Description: Santa Fe Springs, At 14044 Freeway Drive.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mashhur Ali
Structure Rep.: Nelson Parada

Sample Information

DIME Sample ID: 2019-12-11-28
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: 12/11/2019
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 48 EA
A brief description of the sample: F1554 Anchor Bolt
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name: Building Work
The fabricator/manufacturer/facility name: Cordova Bolt

Material Information

Rocap Number(s): N/A
Heat Number(s): 188868
Nut Mfg. Lot Number(s): 415208A
Washer Mfg. Lot Number(s): N/A
Bolt Specification: F1554 Gr. 55
Bolt Length(s): 30"
Nut Specification: A563 Gr. 2H
Washer Specification: N/A
Finish: Plain
Diameter/Size: 7/8" All Thread Bolt
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s): NA
Lubricant Requirements(s):

Test Information

DIME Test ID: 2019-12-11-28-4
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: 12/17/2019
Verified Date: 12/17/2019
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:
Organization Phone: (916) 227-7253
General Comments for this Test: Nut Proof
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
1 415208A 80864 Nut Proof fsaylor
UTM: 450kip
Temperature: 72 f