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Testing Report for 2020-11-18-1-2

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

Project Information

DEA: No Project QA Service Level:
DIST-CO-RTE-PM: ---
Work Description: Special project identifier for material not associated with a project
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-11-18-1
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: 11/18/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/01/2020
The quantity of what the sample constitutes: 240
A brief description of the sample: ASTM F1554-15 Gr. 55 anchor bolts
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A and M Nut and Bolt

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s): 6215177905
Washer Mfg. Lot Number(s): 183679
Bolt Specification: ASTM F1554 Grade 55
Bolt Length(s): 36"
Nut Specification: ASTM A563 DH
Washer Specification: ASTM F436
Finish: hot dipped galvanized
Diameter/Size: 1"
Bolt Mfg. Lot Number: 3096588
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2020-11-18-1-1
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)
Verified Date: 12/15/2020
Date Tested: 12/04/2020
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
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1B32553-621517790594641A563fsaylor
UTM 450kip
Temperature 72 f