Test 2021-08-19-4-4 (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 Date8/19/2021 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 testing8/24/2021
Sample typeQuality Assurance A brief description of the sample1" A563-DH Heavy Hex Bolt HDG
The quantity of what the sample constitutes4050 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) FormB390-128-21 Structure unique identifier
Structure name
Material Information
Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)NA
Heat Number(s)5804569604 Nut Mfg. Lot Number(s)NA
Washer Mfg. Lot Number(s)34463-5804569604 Bolt SpecificationNA
Bolt Length(s)NA Nut SpecificationNA
Washer SpecificationA563-DH FinishHot Dip Galvanize
Diameter/Size1.0" Bolt Mfg. Lot NumberNA
Rocap Test Requirement(s)NA Lubricant Requirements(s)NA
Test Details
DIME Sample ID: 2021-08-19-4
DIME Test ID: 2021-08-19-4-4
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: 2021-09-01
Test Results

Input Type: Calculated
Tester's full name: Steven Paine
Date of test: 08/31/2021
Sample No.: 1A
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 34463-5804569604
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: DH U
Size: 1 in
Gage Type: Pass
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Test was verified on 09/01/2021