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Testing Report for 2020-02-04-2-5

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

Project Information

DEA: 043G4424
EFIS: 0412000042
Project ID: 210037
QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-80-R5.6/7.6
Work Description: WEST SPAN DAMPER BRACKET A325 BOLT TESTING
Location Description: SFOBB WEST SPAN
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Tom Larwin
Structure Rep.: Sergio Gomez

Sample Information

DIME Sample ID: 2020-02-04-2
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: 2/4/2020
Date that the sample was received by the laboratory/organization performing the testing: 2/5/2020
The quantity of what the sample constitutes: 9
A brief description of the sample: A325 Bolt Assembly
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bay Bolt

Material Information

Rocap Number(s):
Heat Number(s): 10629590 DL15102172 163050
Nut Mfg. Lot Number(s): 361738A
Washer Mfg. Lot Number(s): 141843
Bolt Specification: A325
Bolt Length(s): 3.5"
Nut Specification: A563
Washer Specification: F436 HDG
Finish: HDG
Diameter/Size: 1"
Bolt Mfg. Lot Number: L569MI
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2020-02-04-2-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 2/6/2020
Verified Date: 2/6/2020
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.: 1C
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: L569MI
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: A325 USA LE
Size: 1 in
Bolt Length: 3.5 in
Gage Type: Pass