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Sample Record for 2020-07-22-4

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:
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: 2020-07-22-4
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: Stock
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 07/22/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/27/2020
The quantity of what the sample constitutes: 48
A brief description of the sample: 3/4"-10 x 15" Anchor bolt assemblies
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A and M Nut and Bolt

Material Information

Rocap Number(s):
Heat Number(s): Bolt 58035126-03 Nuts 6215104903 Washers 189090
Nut Mfg. Lot Number(s): 31662-6215104903
Washer Mfg. Lot Number(s): 314460
Bolt Specification: ASTM A1554 Gr. 55-S1
Bolt Length(s): 15" with 2" hook
Nut Specification: ASTM A194 Gr. 2H
Washer Specification: ASTM F436
Finish: HDG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: 50237-PPO
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test Information 8 of 13

DIME Test ID: 2020-07-22-4-8
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 08/03/2020
Date Tested: 07/30/2020
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 31662-6215104903
Finish Coating ASTM F2329 - Hot Dip
Product Markings 2HZN U
Size .75 in
Bolt Length no data in
Measurement Average 5.78 mils

Tests Assigned to this Sample

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