Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-03-12-1

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 Date03/12/2026 Sample Unique Key1
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 testing03/18/2026
Sample typeQuality Assurance A brief description of the sampleGalvanized Hex Couplings Nuts
The quantity of what the sample constitutes3 Couplings Nuts From where was the sample collectedManufacturer
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQA Telephone number of sampler7029172503
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Circle Corp Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-022-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)N/A
Heat Number(s)100013154340 Nut Mfg. Lot Number(s)26065192
Washer Mfg. Lot Number(s)N/A Bolt SpecificationN/A
Bolt Length(s)N/A Nut SpecificationASTM A563 Gr. DH
Washer SpecificationN/A FinishGalvanized
Diameter/Size1" X 3" Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s)None Lubricant Requirements(s)None
Washer Inner Diameter(s)None

Submitted Tests

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