Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2025-03-11-7

Project Information

Project IdentifiersProject ID: 1000704
DEA: 031J8001
EFIS: 0321000071
Permit Numbers: 0324NOP0141
DIST-CO-RTE-PM03---
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level2 (Verified on 12/18/2024)

Sample Information

Sample Taken Date03/11/2025 Sample Unique Key7
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 testing03/11/2025
Sample typeQuality Assurance A brief description of the sampleA325 Hex Bolt
The quantity of what the sample constitutes26 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 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) Form414980-001-25 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)na
Heat Number(s)10841100 Nut Mfg. Lot Number(s)na
Washer Mfg. Lot Number(s)na Bolt SpecificationA325
Bolt Length(s)3.0" Nut Specificationna
Washer Specificationna FinishMG
Diameter/Size3/4" Bolt Mfg. Lot Number050014
Rocap Test Requirement(s)na Lubricant Requirements(s)na
Washer Inner Diameter(s)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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