Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2024-11-26-12

Project Information

Project IdentifiersProject ID: 88888
DEA: SMTL-STOCK
EFIS: SMTL-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date11/26/2024 Sample Unique Key12
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 testing11/26/2024
Sample typeQuality Assurance A brief description of the sampleA325 Assy.
The quantity of what the sample constitutes300 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byLund
Title of sampler Telephone number of sampler8014626352
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUniversal Industrial Sales Inc Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB390-164-24 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)TT0184582
Heat Number(s)10850490, 58059538, 224820 Nut Mfg. Lot Number(s)40435-5805953805
Washer Mfg. Lot Number(s)29473-224820 Bolt SpecificationA325
Bolt Length(s)5" Nut SpecificationA563-DH
Washer SpecificationF436 FinishMG
Diameter/Size1-1/8" Bolt Mfg. Lot NumberM5874
Rocap Test Requirement(s)na Lubricant Requirements(s)Wax and Dye

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments