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Testing Report for 2019-09-18-12-8

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: 2019-09-18-12
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: 9/18/2019
Date that the sample was received by the laboratory/organization performing the testing: 9/25/2019
The quantity of what the sample constitutes: 7
A brief description of the sample: A563-DH HDG Nut
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s): 29966-189069
Washer Mfg. Lot Number(s):
Bolt Specification: NA
Bolt Length(s): Unknown
Nut Specification: A563
Washer Specification: NA
Finish: HDG
Diameter/Size: .875
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2019-09-18-12-8
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 10/1/2019
Verified Date: 10/1/2019
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.: 1E
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 29966-189069
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: U DH
Size: .875 in
Gage Type: Pass