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Testing Report for 2020-09-30-3-6

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

Project Information

Project ID: 214393 DEA: 101C6204 EFIS: 1015000001 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ,MPA,MER,SBT,SJ,SCL-5,88,99,104,120,etc.-15.69/29.56
Work Description: MODIFY ELECTRICAL SYSTEMS, INSTALL CAMERA SYSTEMS AND PLACE HMA.
Location Description: AMADOR, MARIPOSA, MERCED, SAN BENITO, SAN JOAQUIN, AND SANTA CLARA COUNTIES AT VARIOUS LOCATIONS
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Obiadullah "Abdul" Rashid Structure Rep.: Darwin Vargas

Sample Information

DIME Sample ID: 2020-09-30-3
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: 09/30/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2020
The quantity of what the sample constitutes: 95
A brief description of the sample: Anchor Bolt Hardware 1"x 16.5"
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales

Material Information

Rocap Number(s):
Heat Number(s): 3093335
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: F1554 gr 105
Bolt Length(s): 16 1/2"
Nut Specification: na
Washer Specification: na
Finish: HGD
Diameter/Size: 1.0"
Bolt Mfg. Lot Number: 96433
Rocap Test Requirement(s): na
Lubricant Requirements(s): na

Test Information

DIME Test ID: 2020-09-30-3-1
Test Method: ASTM F606-14: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Hex Cap Screws)
Verified Date: 10/12/2020
Date Tested: 10/08/2020
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: F1554 Gr 105 Headed Bolt
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Sample No. 1B
Rocap Number no data
Heat Number(s) 3093335
Mfg. Lot Number 96433
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1 in
Bolt Length 16.5 in
Measurement Average 6.48 mils