Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-09-27-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214274 DEA: 010J7304 EFIS: 0119000082 MINOR: 01A2002 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-1-18.0/23.0, 18.0-23.0 |
| Award Date | 03/28/2019 |
| Closeout Date | 11/17/2020 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/30/2019) |
Sample Information
| Sample Taken Date | 09/27/2019 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | A325 Bolt,nut and washer |
| The quantity of what the sample constitutes | 22 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Ed | Last name of sampler or witnessed by | Fleming |
| Title of sampler | TET | Telephone number of sampler | 707-310-2029 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Bay Bolt,Nuor,Sabre | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B10-196-19 | Structure unique identifier | 23-men |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 4881-01 |
|---|---|---|---|
| Heat Number(s) | DL17101274 | Nut Mfg. Lot Number(s) | DL1710127401 |
| Washer Mfg. Lot Number(s) | 0619-188 | Bolt Specification | A325 |
| Bolt Length(s) | 2" | Nut Specification | 1045L |
| Washer Specification | F436 HDG | Finish | HDG |
| Diameter/Size | 1-1/8" | Bolt Mfg. Lot Number | 160850A |
| Rocap Test Requirement(s) | A325 | Lubricant Requirements(s) | Nut only |
| Washer Inner Diameter(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||