Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-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
DIME Sample ID: 2017-05-15-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 05/15/2017
Date that the sample was received by the laboratory/organization performing the testing: 05/16/2017
The quantity of what the sample constitutes: 12
A brief description of the sample: A563-DH HDG Nut
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales
Rocap Number(s):
Heat Number(s): 177071
Nut Mfg. Lot Number(s): W2415
Washer Mfg. Lot Number(s):
Bolt Specification: n/a
Bolt Length(s): Unknown
Nut Specification: A563-DH
Washer Specification: n/a
Finish: HDG
Diameter/Size: 2 1/2"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
DIME Test ID: 2017-05-15-2-1
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: 05/23/2017
Date Tested: 05/23/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test: FAILS Coating - Large Chips in HD Galvanizing to Bare Metal.
Test Result Compliance: does not comply
Additional Comments When Verified:
Test Temperature (F)
|
71 °F
|
Sample No.
|
1A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM A153 - Hot Dip
|
Product Markings
|
no data
|
Size
|
no data in
|
Bolt Length
|
no data in
|
Measurement Average
|
0.5 mils
|