Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2024-07-03-18

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 Date07/03/2024 Sample Unique Key18
Date that the sample was received by the laboratory/organization performing the testing05/14/2024 Sample typeQuality Assurance
A brief description of the sampleRetest F1554 Gr 55 anchor bolt The quantity of what the sample constitutes238
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 sampler1-385-452-2398 Laboratory sample identificationna
Linked DIME Sample ID2024-04-25-8 The fabricator/manufacturer/facility nameUniversal Industrial Sale, Inc.
Transportation Laboratory (TL) Numberna 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)8000019506 Nut Mfg. Lot Number(s)na
Washer Mfg. Lot Number(s)na Bolt SpecificationF1554 Gr 55
Bolt Length(s)22-1/4" Nut Specificationna
Washer Specificationna FinishHDG
Diameter/Size5/8" Bolt Mfg. Lot Number8000019506
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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Test File Attachments