Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2024-04-29-76

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 Date04/29/2024 Sample Unique Key76
Date that the sample was received by the laboratory/organization performing the testing07/03/2024 Sample typeQuality Assurance
A brief description of the sampleRetest 1-1/4" F1554 gr 105 Hex Bolt The quantity of what the sample constitutes785
From where was the sample collectedFabricator First name of sampler or witnessed byDavid
Last name of sampler or witnessed byLund Title of sampler
Telephone number of sampler385 452-2398 Laboratory sample identification
Linked DIME Sample ID2024-04-29-19 The fabricator/manufacturer/facility nameUniversal Industrial Sales, inc.
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB390-101-24
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)na
Heat Number(s)58059840 Nut Mfg. Lot Number(s)na
Washer Mfg. Lot Number(s)na Bolt SpecificationF1554 Gr 105
Bolt Length(s)15" Nut Specificationna
Washer Specificationna FinishHDG
Diameter/Size1-1/4" Bolt Mfg. Lot Number79000-1
Rocap Test Requirement(s)na Lubricant Requirements(s)na
Washer Inner Diameter(s)

Submitted Tests

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