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Testing Report for 2020-10-08-15-1

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

Project Information

DEA: 030H4804
EFIS: 0315000198
Project ID: 214175
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99-0.1/1.6,11.8/21.6
Work Description: COLD PLANE AC PAVEMENT AND RHMA OVERLAY.
Location Description: SACRAMENTO COUNTY IN AND NEAR GALT FROM DRY CREEK BRIDGE TO SIMMERHORN ROAD AND IN ELK GROVE AND SACRAMENTO FROM 0.9 MILE SOUTH OF ELK GROVE BOULEVARD TO MARTIN LUTHER KING JR BOULEVARD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Sushma Lee
Structure Rep.: Kim Noonan

Sample Information

DIME Sample ID: 2020-10-08-15
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/8/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/20/2020
The quantity of what the sample constitutes: 14
A brief description of the sample: 1 1/2-6 X 4 A325
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Structural and Steel Products

Material Information

Rocap Number(s): 0916620F
Heat Number(s): C170811
Nut Mfg. Lot Number(s): 27724-75070238
Washer Mfg. Lot Number(s): D4382
Bolt Specification: A325
Bolt Length(s): 4"
Nut Specification: A563
Washer Specification: F436
Finish: MG
Diameter/Size: 1 1/2"
Bolt Mfg. Lot Number: 125570
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2020-10-08-15-1
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Date Tested: 10/22/2020
Verified Date: 10/27/2020
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: Proof Load
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of Samples: 1
Sample Bolt Mfg. Lot Number Size (in) Peak Load (lbf) Peak Load (kN) Comments Tested By
1A 27724-750702238 217562 Proof Load fsaylor
UTM: 450kip
Temperature: 72 f