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Testing Report for 2020-07-15-3-3

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: 2020-07-15-3
TL Number from the TL Form:
Sample Submitted By Organization: CT METS QASI - Los Angeles Design Build Field Laboratory
Sample Organization Contact: (619) 204-7248
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 7/15/2020
Date that the sample was received by the laboratory/organization performing the testing: 7/15/2020
The quantity of what the sample constitutes: 82 total
A brief description of the sample: 1/2"x 2-3/4" HH A325 Bolt
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Structural and Steel Products

Material Information

Rocap Number(s): 060920BR
Heat Number(s): Bolt NF15203266, Nut 100789206, Washer 136431
Nut Mfg. Lot Number(s): 405806A
Washer Mfg. Lot Number(s): 317843
Bolt Specification: ASTM A325
Bolt Length(s): 2-3/4"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: Mech.Zinc Galv. ASTM B695
Diameter/Size: 1/2"x 2-3/4"
Bolt Mfg. Lot Number: 365604A
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2020-07-15-3-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 8/19/2020
Verified Date: 8/19/2020
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): no data
Mfg. Lot Number: 365604A
Finish Coating: ASTM B695 - Mech Galv
Product Markings: A325 N
Size: .5 in
Bolt Length: 2.75 in
Gage Type: Pass