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Sample Record for 2020-05-08-4

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

Project Information

Project ID: 88888 DEA: STOCK EFIS: STOCK QA Service Level:
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

Sample Information

DIME Sample ID: 2020-05-08-4
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: 05/08/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/28/2020
The quantity of what the sample constitutes: 1 Lot of 2,025 washers
A brief description of the sample: ASTM F436 Washer
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS

Material Information

Rocap Number(s): NA
Heat Number(s): B54671
Nut Mfg. Lot Number(s): NA
Washer Mfg. Lot Number(s): D8476
Bolt Specification: NA
Bolt Length(s): NA
Nut Specification: NA
Washer Specification: F436
Finish: B695 Class 55
Diameter/Size: 1 1/4"
Bolt Mfg. Lot Number: NA
Rocap Test Requirement(s): NA
Lubricant Requirements(s): NA

Test Results

Test Information 8 of 8

DIME Test ID: 2020-05-08-4-8
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/04/2020
Date Tested: 06/04/2020
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:
Organization Phone: (916) 227-7253
General Comments for this Test:
Additional Comments When Verified:
Sample No. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D8476
Finish Coating ASTM B695 - Mech Galv
Product Markings P F436
Size 1.250 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.85
Spacing Ok

Tests Assigned to this Sample

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