Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2021-06-11-2

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 Date06/11/2021 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeStock
A brief description of the sampleanchor bolt assemblies The quantity of what the sample constitutes220
From where was the sample collectedManufacturer First name of sampler or witnessed byChris
Last name of sampler or witnessed byDsouza Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameA M Nut and Bolt
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL132-073-21
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)33883-5804469504
Washer Mfg. Lot Number(s)D9692 Bolt SpecificationASTM F1544
Bolt Length(s)12" Nut SpecificationASTM A194 Heavy Hex Nut, Grade 2H
Washer SpecificationASTM F436 FinishHot Dip Galvanized
Diameter/Size5/8" Bolt Mfg. Lot Number3093323
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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