Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2025-10-28-2

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 Date10/28/2025 Sample Unique Key2
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 sample3/4" X 2-1/2" A325 Mch Galv Rocap Assy
The quantity of what the sample constitutes1000 From where was the sample collectedFabricator
First name of sampler or witnessed byPaul Last name of sampler or witnessed byFarinha
Title of samplerASI 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) FormS51-362-25 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)TT0195114
Heat Number(s)Bolt 10937000 Nut 20925980 Washer 240151 Nut Mfg. Lot Number(s)E005R1
Washer Mfg. Lot Number(s)0824-363 Bolt SpecificationASTM A325 F3125
Bolt Length(s)2-1/2" Nut SpecificationASTM A563 Grade DH
Washer SpecificationASTM F436 FinishMechanical Galve
Diameter/Size3/4" Bolt Mfg. Lot NumberBM1467
Rocap Test Requirement(s)Yes Lubricant Requirements(s)None
Washer Inner Diameter(s)

Submitted Tests

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