Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 77777 DEA: CHEM-STOCK EFIS: CHEM-STOCK
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for Chem Lab 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: 2022-11-18-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 11/18/2022
Date that the sample was received by the laboratory/organization performing the testing: 11/18/2022
The quantity of what the sample constitutes: 4
A brief description of the sample: 1.25" HEAVY HEX NUT
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS Lindon UT
Rocap Number(s):
Heat Number(s): 212403
Nut Mfg. Lot Number(s): 35100-212403
Washer Mfg. Lot Number(s): XXX
Bolt Specification: XXX
Bolt Length(s): XXX
Nut Specification: ASTM A563-DH/B695-55
Washer Specification: XXX
Finish: F148
Diameter/Size: 1.25"
Bolt Mfg. Lot Number: XXX
Rocap Test Requirement(s):
Lubricant Requirements(s):
DIME Test ID: 2022-11-18-3-1
Test Method: ASTM F606-21: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 12/06/2022
Date Tested: 11/30/2022
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: A563 Nut Proof
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 | | | 150492 | | A563 Nut Proof | |
| |
UTM
|
450kip
|
Temperature
|
72 f
|
DIME Test ID: 2022-11-18-3-2
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 12/06/2022
Date Tested: 11/30/2022
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
|
35100-212403
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.71 mils
|