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Testing Report for 2018-02-15-5-4

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

Project Information

DEA: 043G6414
EFIS: 0416000348
Project ID: 211931
QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29-37.0
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Danilo Patenia
Structure Rep.: Nana Budu

Sample Information

DIME Sample ID: 2018-02-15-5
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: 2/15/2018
Date that the sample was received by the laboratory/organization performing the testing: 2/21/2018
The quantity of what the sample constitutes: 3
A brief description of the sample: A325 Fastener Assembly
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Portland Bolt

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s): 26357
Washer Mfg. Lot Number(s): 0917-627
Bolt Specification: A325
Bolt Length(s): 31-3/8"
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: .875
Bolt Mfg. Lot Number: 18603
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2018-02-15-5-4
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 2/22/2018
Verified Date: 2/27/2018
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: 26357
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: U DH
Size: .875 in
Gage Type: Pass