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Testing Report for 2019-12-11-14-10

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

Project Information

DEA: 024F7804
EFIS: 0213000032
Project ID: 212794
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA,LAS,PLU,SHA,SIS,TRI-5-22087-25.7
Work Description: CMS SIGNS IN SHASTA COUNTY
Location Description: IN BUTTE, LASSEN, PLUMAS, SHASTA, SISKIYOU AND TRINITY COUNTIES IN VARIOUS LOCATIONS.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Joel Gasik
Structure Rep.: Nicholas McLean

Sample Information

DIME Sample ID: 2019-12-11-14
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
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: 12/18/2019
The quantity of what the sample constitutes: 462
A brief description of the sample: 3/4-10 GR DH HV MG NUT w/ blue dye
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Structural and Steel Products

Material Information

Rocap Number(s):
Heat Number(s): 100893710
Nut Mfg. Lot Number(s): 414755A
Washer Mfg. Lot Number(s):
Bolt Specification: n/a
Bolt Length(s): Unknown
Nut Specification: n/a
Washer Specification: n/a
Finish: Mechanically Galvanized to ASTM B695
Diameter/Size: 3/4"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s): not required. snug tight

Test Information

DIME Test ID: 2019-12-11-14-10
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Date Tested: 12/20/2019
Verified Date: 12/23/2019
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.: 1B
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 414755A
Finish Coating: ASTM B695 - Mech Galv
Product Markings: DH N
Size: .75 in
Bolt Length: no data
Measurement Average: 3.65 mils