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Testing Report for 2017-04-20-6-12

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: 2017-04-20-6
TL Number from the TL Form: NA
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: 4/20/2017
Date that the sample was received by the laboratory/organization performing the testing: 4/26/2017
The quantity of what the sample constitutes: 52
A brief description of the sample: F1554 Anchor Rods Nut Washers
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A M Bolt

Material Information

Rocap Number(s):
Heat Number(s): 3064243, 3062708, 5802878703, 3066882, 3065470, 3066144
Nut Mfg. Lot Number(s): 71702637, NF15202091 11, 71764139, 383997A, DDTO
Washer Mfg. Lot Number(s): 299014, 298470, 297626, 299482, 299272, 299997
Bolt Specification: F1554
Bolt Length(s): 42, 42, 42, 36, 36, 42
Nut Specification: A194/A563, A194, DH, 2H
Washer Specification: F436
Finish: F2329
Diameter/Size: 2.5, 1.25, 2.25, 1, 1, 1.5
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-04-20-6-12
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 5/1/2017
Verified Date: 5/2/2017
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): 3064243
Mfg. Lot Number: no data
Finish Coating: ASTM A153 - Hot Dip
Product Markings: YELLOW PAINT
Size: 2.5 in
Bolt Length: 42 in
Gage Type: Pass