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Testing Report for 2018-07-19-14-1

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

Project Information

DEA: No Project
EFIS:
Project ID: 0
QA Service Level:
DIST-CO-RTE-PM: ---
Work Description: Special project identifier for material not associated with a project
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-07-19-14
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: 7/19/2018
Date that the sample was received by the laboratory/organization performing the testing: 7/19/2018
The quantity of what the sample constitutes: 5 from each lot
A brief description of the sample: 2, 2-1/4 A563 nuts
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales Dyson

Material Information

Rocap Number(s): N/A
Heat Number(s): 188194, 166581, 188539
Nut Mfg. Lot Number(s): DDYO, DDWH, DDYZ
Washer Mfg. Lot Number(s): N/A
Bolt Specification: N/A
Bolt Length(s): N/A
Nut Specification: A563-DH
Washer Specification: N/A
Finish: Plain, Plain, HDG
Diameter/Size: 2, 2-1/4, 2-1/4
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s): No
Lubricant Requirements(s): No, No, Yes

Test Information

DIME Test ID: 2018-07-19-14-1
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 7/30/2018
Verified Date: 8/6/2018
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: 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.: 1A
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: DDYO
Finish Coating: Plain
Product Markings: 2H DH D/N
Size: 2 in
Gage Type: Pass