Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2022-12-13-1

Project Information

Project IdentifiersProject ID: 210037
DEA: 043G4424
EFIS: 0412000042
DIST-CO-RTE-PM04-SF-80-R5.6/7.6
Award Date03/22/2018
Closeout Date07/24/2023
Work DescriptionWEST SPAN DAMPER BRACKET A325 BOLT TESTING
Location DescriptionSFOBB WEST SPAN
QA Service Level1 (Verified on 11/04/2014)

Sample Information

Sample Taken Date12/13/2022 Sample Unique Key1
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 testingNot set
Sample typeDepartment Acceptance A brief description of the sample1" F436 Structural washer
The quantity of what the sample constitutes100 From where was the sample collectedFabricator
First name of sampler or witnessed byOscar Last name of sampler or witnessed byVizcaino
Title of sampler Telephone number of sampler6787558969
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSt Louis Screw and Bolt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)TT0160488
Heat Number(s)10782960, 223651, NLPZ3670 Nut Mfg. Lot Number(s)37327-223651
Washer Mfg. Lot Number(s)0921-979 Bolt SpecificationA-325
Bolt Length(s)1" x 3-1/4" Nut SpecificationA563-DH
Washer SpecificationF436-1 Finish
Diameter/Size1" Bolt Mfg. Lot Number048650
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments