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Sample Record for 2019-02-14-4

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: 2019-02-14-4
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 02/14/2019
Date that the sample was received by the laboratory/organization performing the testing: 02/21/2019
The quantity of what the sample constitutes: 1 lot of 282
A brief description of the sample: F3125 GR A325 MG Hex Bolt
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS Lindon UT

Material Information

Rocap Number(s):
Heat Number(s): 10431710
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: F3125/A325/A153/B695
Bolt Length(s): 2-1/2"
Nut Specification: N/A
Washer Specification: N/A
Finish: MG
Diameter/Size: 1/2"
Bolt Mfg. Lot Number: M4778
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test Information 7 of 12

DIME Test ID: 2019-02-14-4-7
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 03/04/2019
Date Tested: 02/27/2019
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. 1E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number M4778
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 SL
Size .5 in
Bolt Length 2.5 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.