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Testing Report for 2020-07-30-6-8

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

Project Information

DEA: 041J5694
EFIS: 0419000313
Project ID: 214601
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-0.0/21.8
Work Description: Barrier modifications, overhead signs, freeway lighting and electronic toll system components
Location Description: SANTA CLARA AND SAN MATEO COUNTIES FROM 0.3 MILE NORTH OF SAN ANTONIO ROAD TO 0.3 MILE SOUTH OF GRAND AVENUE INTERCHANGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Douglas Inori
Structure Rep.: Tyler Pinell

Sample Information

DIME Sample ID: 2020-07-30-6
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 7/30/2020
Date that the sample was received by the laboratory/organization performing the testing: 8/7/2020
The quantity of what the sample constitutes: 28
A brief description of the sample: Anchor Bolt Assembly
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: Overhead Sign Structures
The fabricator/manufacturer/facility name: Madden Bolt

Material Information

Rocap Number(s):
Heat Number(s): 3094712 58041419
Nut Mfg. Lot Number(s): DEAN W3835
Washer Mfg. Lot Number(s): 3442 1651
Bolt Specification: ASTM F1554, Gr 55
Bolt Length(s): 42" and 60"
Nut Specification: ASTM A563, Gr DH
Washer Specification: ASTM F436
Finish: HDG
Diameter/Size: 2.25 2.5
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s): No
Lubricant Requirements(s): No

Test Information

DIME Test ID: 2020-07-30-6-8
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: 8/11/2020
Verified Date: 8/12/2020
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.: 1A
Rocap Number: no data
Heat Number(s): 58041419
Mfg. Lot Number: no data
Finish Coating: Plain and ASTM F2329 - Hot Dip
Product Markings: YELLOW
Size: 2.25 in
Bolt Length: 42 in
Measurement Average: 6.4 mils