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Testing Report for 2017-09-28-3-6

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

Project Information

DEA: STOCK
EFIS: STOCK
Project ID: 88888
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: 2017-09-28-3
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 9/28/2017
Date that the sample was received by the laboratory/organization performing the testing: 9/28/2017
The quantity of what the sample constitutes: 1199
A brief description of the sample: 1-1/2 A563-DH Nut
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales

Material Information

Rocap Number(s):
Heat Number(s): 73101482
Nut Mfg. Lot Number(s): DDXP
Washer Mfg. Lot Number(s):
Bolt Specification: NA
Bolt Length(s): Unknown
Nut Specification: A563-DH
Washer Specification: NA
Finish:
Diameter/Size: 1-1/2
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2017-09-28-3-6
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 10/11/2017
Verified Date: 10/11/2017
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Sample No.: 1C
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: DDXP
Finish Coating: ASTM B695 - Mech Galv
Product Markings: 2H DH D/N
Size: 1.5 in
Gage Type: NA