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Testing Report for 2020-11-17-3-8

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

Project Information

DEA: 07296604
EFIS: 0713000057
Project ID: 212085
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-14.0/19.0
Work Description: PAINT AND REHABILITATE BRIDGE - (STRAIN (PAINT AND INSTALL CATWALK)
Location Description: IN THE CITY OF LOS ANGELES, AT SANTA MONICA VIADUCT (BR. NO. 53-1301). PAINT AND REHABILITATE BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Susana Facio
Structure Rep.: Nabil Shmara

Sample Information

DIME Sample ID: 2020-11-17-3
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 11/17/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/20/2020
The quantity of what the sample constitutes: 44
A brief description of the sample: 3/4" x 1 3/4" TC bolt assemblies
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Page Industries

Material Information

Rocap Number(s): N/A
Heat Number(s): Bolt 100892474 HHN 75072730 Washer 11815570
Nut Mfg. Lot Number(s): 29340-75072730
Washer Mfg. Lot Number(s): D6305
Bolt Specification: ASTM A325
Bolt Length(s): 1 3/4"
Nut Specification: ASTM A563 Gr. DH
Washer Specification: ASTM F436
Finish: MG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: 29359-1008924474
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2020-11-17-3-8
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: 12/3/2020
Verified Date: 12/3/2020
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: A563
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 29340-75072730 53133 A563 fsaylor
UTM: 450kip
Temperature: 72 f