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Testing Report for 2018-10-23-1-5

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

Project Information

DEA: No Project
Project ID: 0
QA Service Level:
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: 2018-10-23-1
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: 10/23/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/26/2018
The quantity of what the sample constitutes: 1 lot
A brief description of the sample: A325 Bolt and F436 Washer
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS SLSB

Material Information

Rocap Number(s):
Heat Number(s): 100788102, 284212
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): 310512
Bolt Specification: A325
Bolt Length(s): 5-1/2
Nut Specification: N/A
Washer Specification: F436
Finish: HDG
Diameter/Size: 3/4
Bolt Mfg. Lot Number: G9477
Rocap Test Requirement(s): No
Lubricant Requirements(s): No

Test Information

DIME Test ID: 2018-10-23-1-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 10/30/2018
Verified Date: 10/30/2018
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.: 1C
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: G9477
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: A325 SL USA
Size: .750 in
Bolt Length: 5.5 in
Gage Type: Pass