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Testing Report for 2020-07-22-4-6

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: 2020-07-22-4
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Stock
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 7/22/2020
Date that the sample was received by the laboratory/organization performing the testing: 7/27/2020
The quantity of what the sample constitutes: 48
A brief description of the sample: 3/4"-10 x 15" Anchor bolt assemblies
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A and M Nut and Bolt

Material Information

Rocap Number(s):
Heat Number(s): Bolt 58035126-03 Nuts 6215104903 Washers 189090
Nut Mfg. Lot Number(s): 31662-6215104903
Washer Mfg. Lot Number(s): 314460
Bolt Specification: ASTM A1554 Gr. 55-S1
Bolt Length(s): 15" with 2" hook
Nut Specification: ASTM A194 Gr. 2H
Washer Specification: ASTM F436
Finish: HDG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: 50237-PPO
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2020-07-22-4-6
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 7/30/2020
Verified Date: 8/3/2020
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): no data
Mfg. Lot Number: 31662-6215104903
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: 2HZN U
Size: .75 in
Gage Type: Pass