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Distribution Center

Fontana Fasteners Inc. 3595 West State Road 28


Frankfort, IN 46041-6708
T. (765) 654-0477 F. (765) 654-0424
Manufacturing Plant
3281 West County Road 0 NS
Frankfort, IN 46041-6966
T. (765) 654-0477 F. (765) 654-0857

Test Report No: 43826 Date Shipped: 8/30/2021


Customer Item No: AAW062 Shipper No: P20034721
Fontana Fasteners Inc. Item No: WST1581516 Quantity Shipped: 45000
Shipper Desc: T1 5/8 X 1 5/16 FLAT WSR PLAIN - MADE PO No: SB010912
IN USA
Sales Order No: LD21131 Line No: 4 Lot No: E862A1 Lot Group: E862A1
ST. LOUIS SCREW & BOLT T1 5/8 X 1 5/16 FLAT WASHER
2000 ACCESS BLVD ASTM F436 TYPE 1 CIRCULAR FLAT WASHER
MADE IN THE USA
MADISON, IL 62060 - US

Raw Material & Component Information


Consumed Heat/Lot No. Item No. Consumed Description Used By Lot
Additional Heat/Lot Info.
980D HTFM1834127STR FLAT WASHER E862A1

Mfg. Date: 06/26/2021 - Lot Qty: 48244

Unless noted below or elsewhere in this test report: All A325 and A490 Type 1 & 3 Product manufactured to ASTM F3125.
Thread fit and dimensional in accordance to ASTM B18.2.6. This product was manufactured and tested in the USA. Product
was manufactured from USA domestic material melted in the USA. Product was not produced from heats in which Bismuth,
Selenium, Tellurium, or Lead was intentionally added. Product was not exposed to Mercury or any other metal alloy that is
liquid at ambient temperature during processing or while in our possession. Sampling plan in accordance to ASTM F1470.
Product passed a surface discontinuity inspection per ASTM F788. Test methods in accordance to ASTMF606/ISO 898-1
where applicable. Thread fit and dimensional properties are compliant to ASME B18.2.1. Results reported in the mechanical
properties section were determined in accordance with the following test methods: ASTM A370, E18, F606/M. For Structural
A490 product only: Product passed decarb/carburization test per ASTM F2328. Type1 and Type 3 bolts passed magnetic
particle inspection for surface discontinuities per ASTM E709 and E1444 and F788.
Applicable to ASTM A563 Type DH,DH1,DH3,C product only: Test methods in accordance with ASTM F606. Decarb\Carb test
in accordance to ASTM F2328. Thread fit and dimensional properties are compliant to ASME B18.2.2. This lot was
manufactured according to ASTM A563 . Mechanical properties are in accordance with ASTM A563. This product was
manufactured in the USA from domestic material and was not produced from material in which Bismuth, Selenium, Tellurim, or
Lead was intentionally added. This material was not exposed to Mercury or any other metal alloy that is liquid at ambient
temperature during processing or while in our possession.

We certify: The product furnished was manufactured, sampled, tested and inspected in accordance with the standards and specifications listed in
this report along with the Fontana America, Inc (FAI) Quality Manual, Procedures and Instructions in effect as of the date of manufacture. The
included data accurately represents values provided by FAI suppliers and/or values generated in one of FAI's A2LA accredited laboratories.
Statistical process control data is on file as required.This product was manufactured and tested in the USA. Product was manufactured from USA
domestic material melted in the USA. Product was not produced from heats in which Bismuth, Selenium, Tellurium, or Lead was intentionally
added. Product was not exposed to Mercury or any other metal alloy that is liquid at ambient temperature during processing or while in our
possession.Acument Global Technologies, Inc., Fontana Fasteners, Inc. (formerly LE USA (Lake Erie Products), Camcar LLC, Ring Screw LLC
and Saturn Fasteners Inc. are all subsidiaries or divisions of Fontana America Inc. (FAI) which conducts business in the United States under a
common management structure as part of Fontana Gruppo.
This test report relates only to the sample tested above. This document may only be reproduced unaltered and may not be used for any purpose
other than the purpose of certifying the same or lesser quantity of the product specified herein. Reproduction, alteration, or use of this document
for any other purpose is prohibited, except as expressly provided in this certification. FAI makes no (and disclaims all) representations, warranties
and guarantees whatsoever, whether express, implied or statutory, including, without limitation, any warranty of merchantability or fitness for a
particular purpose. This product certification report complies to EN10204 Type 3.1 requirements. Approval signatures are maintained
electronically and available upon request.

Quality Management System including Test Reports managed by: Brian Lewis - Quality Manager

Report No: 43826 FAI Item: WST1581516 Customer Item: AAW062 Lot No: E862A1 Created: 8/30/2021 9:30:05 PM Page 1 of 5
FAI Shipped Lot No: E862A1 Component Item: HTFM1834127STR Heat/Lot: 980D -

Report No: 43826 FAI Item: WST1581516 Customer Item: AAW062 Lot No: E862A1 Created: 8/30/2021 9:30:05 PM Page 2 of 5
FAI Shipped Lot No: E862A1 Component Item: HTFM1834127STR Heat/Lot: 980D -

Report No: 43826 FAI Item: WST1581516 Customer Item: AAW062 Lot No: E862A1 Created: 8/30/2021 9:30:05 PM Page 3 of 5
FAI Shipped Lot No: E862A1 Component Item: HTFM1834127STR Heat/Lot: 980D -

Report No: 43826 FAI Item: WST1581516 Customer Item: AAW062 Lot No: E862A1 Created: 8/30/2021 9:30:05 PM Page 4 of 5
FAI Shipped Lot No: E862A1 Component Item: HTFM1834127STR Heat/Lot: 980D -

Report No: 43826 FAI Item: WST1581516 Customer Item: AAW062 Lot No: E862A1 Created: 8/30/2021 9:30:05 PM Page 5 of 5

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