Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2025-08-12-19

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 Date08/12/2025 Sample Unique Key19
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample2" X 5' F1554-55 S1 Anchor Bolt The quantity of what the sample constitutes102
From where was the sample collectedFabricator First name of sampler or witnessed byPaul
Last name of sampler or witnessed byFarinha Title of sampler
Telephone number of sampler5304010199 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameUIS
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)N/A
Heat Number(s)1201068666 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationF1554-55 With S1
Bolt Length(s)5' Nut SpecificationN/A
Washer SpecificationN/A FinishHDG
Diameter/Size2" 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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