Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2020-09-29-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215113 DEA: 021J2404 EFIS: 0220000048 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA,VAR-273,Var-Var |
| Award Date | 12/02/2019 |
| Closeout Date | 05/23/2022 |
| Work Description | PSPS Streetlight Backing plates-Steel Cantilever structure for solar panels |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 08/17/2020) |
Sample Information
| Sample Taken Date | 09/29/2020 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 1" Domestic HDG ASTM F436 Type 1 hardened washers |
| The quantity of what the sample constitutes | 32 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Roland | Last name of sampler or witnessed by | Maynard |
| Title of sampler | QA Inspector | Telephone number of sampler | (51) 774-1269 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Portland Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S64-006-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 208374 | Nut Mfg. Lot Number(s) | NA |
| Washer Mfg. Lot Number(s) | 0320-424 | Bolt Specification | NA |
| Bolt Length(s) | NA | Nut Specification | NA |
| Washer Specification | ASTM F436 | Finish | HDG |
| Diameter/Size | 1" | Bolt Mfg. Lot Number | NA |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | NA |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||