Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-04-05-9

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 Date04/05/2023 Sample Unique Key9
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample3/4" x 15" anchor bolt The quantity of what the sample constitutes280 pcs.
From where was the sample collectedManufacturer First name of sampler or witnessed byJacob
Last name of sampler or witnessed byGarcia Title of sampler
Telephone number of sampler3109128014 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameA & M Nut & Bolt
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL169-014-23
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)5804978708 Nut Mfg. Lot Number(s)5805312403
Washer Mfg. Lot Number(s)B64398 Bolt SpecificationASTM F1554
Bolt Length(s)15" Nut SpecificationASTM A194
Washer SpecificationASTM F436 FinishHDG
Diameter/Size3/4" Bolt Mfg. Lot Number
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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