Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2026-03-27-5

Project Information

Project IdentifiersProject ID: 1001473
DEA: 044X1404
EFIS: 0426000005
DIST-CO-RTE-PM04-SF-280-
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 08/06/2025)

Sample Information

Sample Taken Date03/27/2026 Sample Unique Key5
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleA449 HDG anchor bolt
The quantity of what the sample constitutes22 assemblies From where was the sample collectedFabricator
First name of sampler or witnessed byRyan Last name of sampler or witnessed byParr
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameXKT Engineering 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)201742 Nut Mfg. Lot Number(s)25059726
Washer Mfg. Lot Number(s)26068540 Bolt SpecificationASTM A449
Bolt Length(s)83-1/8" Nut SpecificationASTM A563
Washer SpecificationASTM A572 Gr. 50 FinishHDG
Diameter/Size1.500 Bolt Mfg. Lot Number26068539
Rocap Test Requirement(s)0 Lubricant Requirements(s)Yes
Washer Inner Diameter(s)2 in

Submitted Tests

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