Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-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
DIME Sample ID: 2021-11-22-1
TL Number from the TL Form: na
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 11/22/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/22/2021
The quantity of what the sample constitutes: 1500
A brief description of the sample: 1-1/4" A563-DH Stock Hardware.
From where was the sample collected: Fabricator
Laboratory sample identification: na
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales, Inc
Rocap Number(s): na
Heat Number(s): 144429
Nut Mfg. Lot Number(s): 18876-144429
Washer Mfg. Lot Number(s): na
Bolt Specification: na
Bolt Length(s): na
Nut Specification: A563-DH B695-55, Heavy Hex Nut, MG
Washer Specification: na
Finish: Mechanical Galvanize
Diameter/Size: 1 1/4"
Bolt Mfg. Lot Number: na
Rocap Test Requirement(s): na
Lubricant Requirements(s): No Wax and Dye
DIME Test ID: 2021-11-22-1-1
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: 12/13/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test: Nut Proof Load
Test Result Compliance:
Additional Comments When Verified:
Number of Samples
|
1
|
Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Comments | Tested By | 1A | 18876-144429 | | 150231 | | Nut Proof Load | spaine |
| |
UTM
|
450kip
|
Temperature
|
72 f
|
DIME Test ID: 2021-11-22-1-2
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: 12/13/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test: Nut Proof Load
Test Result Compliance:
Additional Comments When Verified:
Number of Samples
|
1
|
Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Comments | Tested By | 1B | 18876-144429 | | 151013 | | Nut Proof Load | spaine |
| |
UTM
|
450kip
|
Temperature
|
72 f
|
DIME Test ID: 2021-11-22-1-3
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 12/13/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
1A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
18876-144429
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Gage Type
|
NA
|
DIME Test ID: 2021-11-22-1-4
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 12/13/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
1B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
18876-144429
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Gage Type
|
NA
|
DIME Test ID: 2021-11-22-1-5
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 12/13/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
1C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
18876-144429
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Gage Type
|
NA
|
DIME Test ID: 2021-11-22-1-6
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 12/13/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
1D
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
18876-144429
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Gage Type
|
NA
|
DIME Test ID: 2021-11-22-1-7
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 12/13/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
1E
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
18876-144429
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Gage Type
|
NA
|
DIME Test ID: 2021-11-22-1-8
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: 12/13/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
1A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
18876-144429
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.2 mils
|
DIME Test ID: 2021-11-22-1-9
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: 12/13/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
1B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
18876-144429
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.41 mils
|
DIME Test ID: 2021-11-22-1-10
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: 12/13/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
1C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
18876-144429
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.13 mils
|
DIME Test ID: 2021-11-22-1-11
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: 12/13/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
1D
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
18876-144429
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.29 mils
|
DIME Test ID: 2021-11-22-1-12
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: 12/13/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
1E
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
18876-144429
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.86 mils
|