Print Report | Back to Sample Detail

Sample Record for 2020-05-14-1

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 77777 DEA: CHEM-STOCK EFIS: CHEM-STOCK QA Service Level:
Work Description: Special project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-14-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 05/14/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/21/2020
The quantity of what the sample constitutes: 5
A brief description of the sample: Heavy Hex Nuts
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Circle Corp

Material Information

Rocap Number(s):
Heat Number(s): 9A3262
Nut Mfg. Lot Number(s): Ningbo Haizin Hardwar LTD 5151860018
Washer Mfg. Lot Number(s):
Bolt Specification: n/a
Bolt Length(s):
Nut Specification: ASTM A563-DH
Washer Specification: N/A
Finish: Galvanized ASTM A563-DH
Diameter/Size: 1 1/2" -6
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results