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Testing Report for 2020-12-01-4-8

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

Project Information

DEA: 031J0804
EFIS: 0320000080
Project ID: 214832
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-50-L0.01
Work Description: Repair bottom flanges of scraped girders,repair or replace lateral bracing elements and replace damaged sections of catwalk. Install vertical clearances gages on fenders as directed by USCG.
Location Description: In Sacramento County in Sacramento on Route 50 at teh Sacramento RIver Viaduct(Pioneer) Bridges #24 0004L/R
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Kingsham Wong
Structure Rep.: Brent Bullard

Sample Information

DIME Sample ID: 2020-12-01-4
TL Number from the TL Form: C836612
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 12/1/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/4/2020
The quantity of what the sample constitutes: 3
A brief description of the sample: A325 HDG Rocap Assembiy
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Nucor Bay Bolt

Material Information

Rocap Number(s): 9396-01/ 81289-03
Heat Number(s):
Nut Mfg. Lot Number(s): 439862B
Washer Mfg. Lot Number(s): 150284
Bolt Specification: F3125 A325
Bolt Length(s): 2.75
Nut Specification: A563 DH
Washer Specification: F436
Finish: F2329
Diameter/Size: .875
Bolt Mfg. Lot Number: 428677A
Rocap Test Requirement(s):
Lubricant Requirements(s): Green

Test Information

DIME Test ID: 2020-12-01-4-8
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 12/8/2020
Verified Date: 12/8/2020
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:
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Sample No.: 1C
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 439862B
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: DH N
Size: .875 in
Gage Type: Pass