Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2025-04-03-12

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 Date04/03/2025 Sample Unique Key12
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing04/03/2025
Sample typeStock A brief description of the sample1/2" F436 Flat Washer
The quantity of what the sample constitutes2000 From where was the sample collectedFabricator
First name of sampler or witnessed byLevi Last name of sampler or witnessed byPivoda
Title of sampler Telephone number of sampler9152961871
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUniversal Industrial Sales Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS88-405-25 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)227697 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationN/A
Bolt Length(s) Nut SpecificationN/A
Washer SpecificationASTM F436 FinishASTM B696 Class 55
Diameter/Size1/2" Bolt Mfg. Lot Number29424
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s)

Submitted Tests

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