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Testing Report for 2020-10-02-2-7

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: 2020-10-02-2
TL Number from the TL Form:
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: (510) 385-8178
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/2/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/9/2020
The quantity of what the sample constitutes: 48
A brief description of the sample: ASTM F1554 Gr 55 Anchor Bolt
From where was the sample collected: Source
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): 3095383
Nut Mfg. Lot Number(s): DEBR
Washer Mfg. Lot Number(s): 3182
Bolt Specification: ASTM F1554 Gr 55-S1
Bolt Length(s): 36"
Nut Specification: ASTM-A194-14A Gr. 2H ASTM-A563-15 Gr. DH
Washer Specification: ASTM F436
Finish: HDG
Diameter/Size: 1 1/2"
Bolt Mfg. Lot Number: 50762-PPO
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Information

DIME Test ID: 2020-10-02-2-7
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Date Tested: 10/14/2020
Verified Date: 10/19/2020
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: DEBR
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: DH D/N 2H
Size: 1.5 in
Gage Type: Pass