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Testing Report for 2017-05-31-3-7

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

Project Information

DEA: 113A0534
EFIS: 1117000127
Project ID: 212468
QA Service Level: 1
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Trung Minh Tran
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-05-31-3
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: 5/31/2017
Date that the sample was received by the laboratory/organization performing the testing: 6/2/2017
The quantity of what the sample constitutes: 4
A brief description of the sample: F1554, A449
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales, Wrought Washer Mfg Inc Platte Decker

Material Information

Rocap Number(s):
Heat Number(s): PL16106308
Nut Mfg. Lot Number(s): NR791, 16-41-009
Washer Mfg. Lot Number(s): 230608
Bolt Specification: F1554-55, A449
Bolt Length(s): 3", 12"
Nut Specification: A5463
Washer Specification: F436
Finish: HDG
Diameter/Size: 1.5", 1"
Bolt Mfg. Lot Number: 166707
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-05-31-3-7
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 6/28/2017
Verified Date: 6/28/2017
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): no data
Mfg. Lot Number: NR791
Finish Coating: ASTM A153 - Hot Dip
Product Markings: U DH
Size: 1.5 in
Gage Type: Pass