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Testing Report for 2019-10-17-2-2

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: 2019-10-17-2
TL Number from the TL Form:
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: 10/17/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/18/2019
The quantity of what the sample constitutes: 5
A brief description of the sample: 7/8" X 30" A449 HEAVY HEX BOLTS
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS Lindon UT

Material Information

Rocap Number(s):
Heat Number(s): 308739
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: A449
Bolt Length(s): 30"
Nut Specification: N/A
Washer Specification: N/A
Finish: Galvanized
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: 56635-2
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2019-10-17-2-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Date Tested: 10/25/2019
Verified Date: 10/29/2019
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.: 1A
Rocap Number: no data
Heat Number(s): 3087319
Mfg. Lot Number: no data
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: KT A449
Size: .875 in
Bolt Length: 30 in
Gage Type: Pass