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Testing Report for 2020-03-23-3-10

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

Project Information

DEA: 120H1004
EFIS: 1200000180
Project ID: 208973
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-405,73,405,605-9.3/24.3
Work Description: (Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location Description: Orange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Hank Alonso (reports)
Structure Rep.: Cal Zachman (reports)

Sample Information

DIME Sample ID: 2020-03-23-3
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: 3/23/2020
Date that the sample was received by the laboratory/organization performing the testing: 3/27/2020
The quantity of what the sample constitutes: 1
A brief description of the sample: F1554 anchor rod
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: EDSCO Fasteners

Material Information

Rocap Number(s):
Heat Number(s): 3089007
Nut Mfg. Lot Number(s): DEAN DCWD
Washer Mfg. Lot Number(s): 317106
Bolt Specification: F1554 GR55
Bolt Length(s): 56"
Nut Specification: A563 A194
Washer Specification: F436 HDG
Finish: HDG and Plain
Diameter/Size: 2.25"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2020-03-23-3-10
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Date Tested: 4/2/2020
Verified Date: 4/2/2020
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.: 1B
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: DEAN
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: DH D/N 2H
Size: 2.25 in
Bolt Length: no data
Hardness Reading Scale: C Scale
Hardness Reading Average: 29.05
Spacing: Ok