Summary for Test 2020-12-23-1-3

Test performed: ASME B1.2-83r01

Project Information

Project IdentifiersProject ID: 214888
DEA: 120P5204
EFIS: 1215000137
DIST-CO-RTE-PM12-ORA-22,57-R9.4/L9.8,10.9/11.4
Award Date05/22/2020
Closeout Date01/18/2022
Work DescriptionREPLACE CONC BARRIER & SIGN PANEL; & MODIFY LIGHTING SYSTEM.
Location DescriptionORANGE COUNTY IN ORANGE ON ROUTE 22 FROM LEWIS STREET OVERCROSSING TO 0.1 MILE WEST OF THE CITY DRIVE UNDERCROSSING AND ON ROUTE 57 FROM 0.3 MILE SOUTH OF CHAPMAN AVENUE UNDERCROSSING TO 0.4 MILE SOUTH OF ORANGEWOOD AVENUE UNDERCROSSING
QA Service Level1 (Verified on 07/21/2020)

Sample Information

Sample Taken Date12/23/2020 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing01/04/2021
Sample typeVerification A brief description of the sampleAnchor Bolt Assembly
The quantity of what the sample constitutes48 ea. From where was the sample collectedOther
First name of sampler or witnessed byChris Last name of sampler or witnessed byDsouza
Title of sampler Telephone number of sampler6469423585
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameEDSCO Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)3101507 Nut Mfg. Lot Number(s)XYY2 HDG Nut XSF2 Plain Nut
Washer Mfg. Lot Number(s)6186 Bolt SpecificationF1554 Gr55
Bolt Length(s)4'-4" Nut SpecificationA194 Grade 2H
Washer SpecificationF436 Finish
Diameter/Size3" Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)

Test Details

DIME Sample ID: 2020-12-23-1
DIME Test ID: 2020-12-23-1-3
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Test Release Date: 2021-01-06

Test Results


Input Type: Calculated
Tester's full name: Fred Saylor
Date of test: 01/04/2021
Sample No.: 1A
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: XYY2
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: 2H D/N
Size: 3 in
Gage Type: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 1/6/2021