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Sample Record for 2017-05-15-2

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

Project Information

Project ID: 88888 DEA: STOCK EFIS: STOCK QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-05-15-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 05/15/2017
Date that the sample was received by the laboratory/organization performing the testing: 05/16/2017
The quantity of what the sample constitutes: 12
A brief description of the sample: A563-DH HDG Nut
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales

Material Information

Rocap Number(s):
Heat Number(s): 177071
Nut Mfg. Lot Number(s): W2415
Washer Mfg. Lot Number(s):
Bolt Specification: n/a
Bolt Length(s): Unknown
Nut Specification: A563-DH
Washer Specification: n/a
Finish: HDG
Diameter/Size: 2 1/2"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 1

DIME Test ID: 2017-05-15-2-1
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 05/23/2017
Date Tested: 05/23/2017
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: FAILS Coating - Large Chips in HD Galvanizing to Bare Metal.
Test Result Compliance: does not comply
Additional Comments When Verified:
Test Temperature (F) 71 °F
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number no data
Finish Coating ASTM A153 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 0.5 mils

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.