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Testing Report for 2017-03-13-2-1

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

Project Information

DEA: 59912684
Project ID: 8196
QA Service Level: 1
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-03-13-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 3/13/2017
Date that the sample was received by the laboratory/organization performing the testing: 3/21/2017
The quantity of what the sample constitutes: 107
A brief description of the sample: F1554 Grade 55 HDG Anchor Bolts
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A M Nut Bolt

Material Information

Rocap Number(s):
Heat Number(s): PL15205107 3065464 58027948-03 3065470 58027475-06 3065469
Nut Mfg. Lot Number(s): DDSR 358843B W1781 382770A W1644 W2032 381629A
Washer Mfg. Lot Number(s): 32545 297736 299999 299482 299537 299482
Bolt Specification: F1554-55 HDG
Bolt Length(s): 42" 30" 51" 36" 42" 42" 36"
Nut Specification: A563 DH A194 2H HDG
Washer Specification: F436 HDG
Finish: HDG
Diameter/Size: 1.75" 0.75" 2" 1" 2" 2.25" 1"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-03-13-2-1
Test Method: ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Date Tested: 3/23/2017
Verified Date: 3/27/2017
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:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Sample No.: 1A
Rocap Number: no data
Heat Number(s): PL15205107
Mfg. Lot Number: no data
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: YELLOW PAINT
Size: 1.75 in
Bolt Length: 42 in
Pitch Diameter: 1.6370 in
Pitch Diameter 2nd: no data