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Sample Record for 2018-10-23-1

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

Project Information

DEA: No Project QA Service Level:
DIST-CO-RTE-PM: ---
Work Description: Special project identifier for material not associated with a project
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-10-23-1
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/23/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/26/2018
The quantity of what the sample constitutes: 1 lot
A brief description of the sample: A325 Bolt and F436 Washer
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS SLSB

Material Information

Rocap Number(s):
Heat Number(s): 100788102, 284212
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): 310512
Bolt Specification: A325
Bolt Length(s): 5-1/2
Nut Specification: N/A
Washer Specification: F436
Finish: HDG
Diameter/Size: 3/4
Bolt Mfg. Lot Number: G9477
Rocap Test Requirement(s): No
Lubricant Requirements(s): No

Test Results

Test Information 6 of 20

DIME Test ID: 2018-10-23-1-6
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/30/2018
Date Tested: 10/30/2018
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. 1D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number G9477
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 SL USA
Size .750 in
Bolt Length 5.5 in
Gage Type Pass

Tests Assigned to this Sample

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