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Sample Record for 2020-05-20-1

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:
DIST-CO-RTE-PM: 59---
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: 2020-05-20-1
TL Number from the TL Form:
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: 05/20/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/21/2020
The quantity of what the sample constitutes: 624
A brief description of the sample: ASTM F1554 Gr 55 Anchor Bolt
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS

Material Information

Rocap Number(s):
Heat Number(s): 1202021440
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: F1554
Bolt Length(s): 5'
Nut Specification: N/A
Washer Specification: N/A
Finish: Galvanized
Diameter/Size: 2-1/2"
Bolt Mfg. Lot Number: 120202144020
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test Information 4 of 12

DIME Test ID: 2020-05-20-1-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 05/28/2020
Date Tested: 05/28/2020
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: 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) 1202021440
Mfg. Lot Number no data
Finish Coating Plain and ASTM A153 - Hot Dip
Product Markings YELLOW PAINT
Size 2.5 in
Bolt Length 60 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.