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Testing Report for 2020-03-06-8-6

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

Project Information

DEA: STOCK-CHEM
EFIS: STOCK-CHEM
Project ID: 77777
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for Chem Lab 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: 2020-03-06-8
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: 3/6/2020
Date that the sample was received by the laboratory/organization performing the testing: 3/23/2020
The quantity of what the sample constitutes: 226
A brief description of the sample: 3/4" x 30" Anchor Bolt
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AM Nut and Bolt

Material Information

Rocap Number(s):
Heat Number(s): 58038169-05
Nut Mfg. Lot Number(s): 31662-6215104903
Washer Mfg. Lot Number(s): 017297
Bolt Specification: F1554 GR 55
Bolt Length(s): 30"
Nut Specification: A194 2H
Washer Specification: F436
Finish: HDG
Diameter/Size: 3/4" x 30"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2020-03-06-8-6
Test Method: ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Date Tested: 3/30/2020
Verified Date: 4/1/2020
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.: 1B
Rocap Number: no data
Heat Number(s): 58038169/05
Mfg. Lot Number: no data
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: YELLOW
Size: .75 in
Bolt Length: 30 in
Pitch Diameter: .693 in
Pitch Diameter 2nd: .693 in