Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-07-10-15

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 Date07/10/2025 Sample Unique Key15
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 testingNot set
Sample typeQuality Assurance A brief description of the sample1" x 13" anchor bolt assembly
The quantity of what the sample constitutes209 pcs. From where was the sample collectedDistributor
First name of sampler or witnessed byJacob Last name of sampler or witnessed byGarcia
Title of samplerQA Inspector Telephone number of sampler7606866753
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHalo Structural Products Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL169-031-25 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)N/A
Heat Number(s)Bolt- 245879 Nut- 8000029706 Washer- 32312470 Nut Mfg. Lot Number(s)W000184115
Washer Mfg. Lot Number(s)E6242 Bolt SpecificationASTM F1554 Gr.55 S1
Bolt Length(s)13" Nut SpecificationASTM A563
Washer SpecificationASTM F436 Finish ASTM A153/F2329 - HDG
Diameter/Size1" Bolt Mfg. Lot Number
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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