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Sample Record for 2017-04-10-7

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

Project Information

Project ID: 8196 DEA: 59912684 QA Service Level: 1
DIST-CO-RTE-PM: 59---
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-04-10-7
TL Number from the TL Form: NA
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: 04/10/2017
Date that the sample was received by the laboratory/organization performing the testing: 04/18/2017
The quantity of what the sample constitutes: 33
A brief description of the sample: F1554 Anchor Rods Nut Washers
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A M Nut Bolt

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s): 358843B, 381629A, 371114A
Washer Mfg. Lot Number(s): 297736, 299272, 258008
Bolt Specification: Grade 55
Bolt Length(s): .75"- x 18", 1"- x 40", .875"- X 12"
Nut Specification: A194 2H
Washer Specification: F436
Finish: F2329
Diameter/Size: .75, 1, .875
Bolt Mfg. Lot Number: 3066885, 58020878-04, 3066884
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test Information 2 of 82

DIME Test ID: 2017-04-10-7-6
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/21/2017
Date Tested: 04/19/2017
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:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) 3066885
Mfg. Lot Number no data
Finish Coating ASTM A153 - Hot Dip
Product Markings YELLOW PAINT
Size .75 in
Bolt Length no data in
Gage Type Pass

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2017-04-10-7-1ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)04/19/201704/19/2017Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryFred Saylor
2017-04-10-7-2ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)04/19/201704/19/2017Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryFred Saylor
2017-04-10-7-3ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)04/19/201704/19/2017Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryFred Saylor
2017-04-10-7-4ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)04/19/201704/19/2017Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryFred Saylor