Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-04-06-1

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 Date04/06/2026 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing04/13/2026 Sample typeQuality Assurance
A brief description of the sample1"-8x40" ASTM F1554 grade 105 Anchor Bolt The quantity of what the sample constitutes3 samples from 1200 pcs
From where was the sample collectedFabricator First name of sampler or witnessed byOsiel
Last name of sampler or witnessed byRamirez Title of samplerQuality Assurance Inspector
Telephone number of sampler9167673535 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameBlue Circle Corporation
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL123-031-26
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)N/A
Heat Number(s)256178 Nut Mfg. Lot Number(s)Unytite/ 43397-21014140
Washer Mfg. Lot Number(s)Prestige E8259 Bolt SpecificationASTL F1554 grade 105
Bolt Length(s)40" Nut SpecificationASTM A563
Washer SpecificationASTM F436 FinishHDG
Diameter/Size1"X40" Bolt Mfg. Lot NumberASI 256178/K48111
Rocap Test Requirement(s)NA Lubricant Requirements(s)NA
Washer Inner Diameter(s)1

Submitted Tests

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