Test 2021-08-16-4-10 (ASME B1.2-83r01) Summary

Project Information
Project IdentifiersProject ID: 214175
DEA: 030H4804
EFIS: 0315000198
DIST-CO-RTE-PM03-SAC-99-0.1/1.6,11.8/21.6
Work DescriptionCOLD PLANE AC PAVEMENT AND RHMA OVERLAY.
Location DescriptionSACRAMENTO COUNTY IN AND NEAR GALT FROM DRY CREEK BRIDGE TO SIMMERHORN ROAD AND IN ELK GROVE AND SACRAMENTO FROM 0.9 MILE SOUTH OF ELK GROVE BOULEVARD TO MARTIN LUTHER KING JR BOULEVARD
Sample Information
Sample Taken Date8/16/2021 Sample Unique Key4
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing8/20/2021
Sample typeQuality Assurance A brief description of the sample1 1/4" x 4" A325 Rocap Assy.
The quantity of what the sample constitutes500 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byLund
Title of samplerCT METS QA INSPECTOR Laboratory sample identificationna
The fabricator/manufacturer/facility nameUniversal Industrial Sales Inc Transportation Laboratory (TL) Numberna
Inspector Lot Number from the Transportation Laboratory (TL) FormB390-125-21 Structure unique identifier
Structure name
Material Information
Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)TT01443189
Heat Number(s)100201759, 75069902, B54671 Nut Mfg. Lot Number(s)804498
Washer Mfg. Lot Number(s)D8476 Bolt SpecificationA325
Bolt Length(s)3" Nut SpecificationA563-DH
Washer SpecificationF436 FinishMechanical Galvanize
Diameter/Size1 1/4" Bolt Mfg. Lot NumberBM1003
Rocap Test Requirement(s)na Lubricant Requirements(s)Wax and Dye
Test Details
DIME Sample ID: 2021-08-16-4
DIME Test ID: 2021-08-16-4-10
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Test Release Date: 2021-08-31
Test Results

Input Type: Calculated
Tester's full name: Steven Paine
Date of test: 08/27/2021
Sample No.: 1A
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 804498
Finish Coating: ASTM B695 - Mech Galv
Product Markings: DH USA LE
Size: 1.25 in
Gage Type: NA
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 08/31/2021