Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2022-01-11-8

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 Date01/11/2022 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testing01/11/2022 Sample typeQuality Assurance
A brief description of the sample2-1/2" Anchor Bolt Nuts The quantity of what the sample constitutes1350
From where was the sample collectedFabricator First name of sampler or witnessed byDavid
Last name of sampler or witnessed byLund Title of samplerCT METS QA INSPECTOR
Telephone number of sampler3854470624 Laboratory sample identificationna
Linked DIME Sample IDna The fabricator/manufacturer/facility nameUniversal Industrial Sales Inc
Transportation Laboratory (TL) Numberna Inspector Lot Number from the Transportation Laboratory (TL) FormB390-009-22
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)na
Heat Number(s)201548 Nut Mfg. Lot Number(s)DECN
Washer Mfg. Lot Number(s)na Bolt Specificationna
Bolt Length(s)na Nut SpecificationA563-DH
Washer Specificationna FinishPlain
Diameter/Size2-1/2" Bolt Mfg. Lot Numberna
Rocap Test Requirement(s)na Lubricant Requirements(s)None
Washer Inner Diameter(s)

Submitted Tests

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