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Sample Record for 2021-03-09-16

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

Project Information

Project ID: 214601 DEA: 041J5694 EFIS: 0419000313 QA Service Level: 1
Work Description:
Location Description:
Contractor Address: 1301 SHOREWAY RD, SUITE 275, BELMONT, CA 94402
Resident Engineer: Douglas Inori Structure Rep.: Tyler Pinell

Sample Information

DIME Sample ID: 2021-03-09-16
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 03/09/2021
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1 lot of 19
A brief description of the sample: Bolt Assy
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: OHSS
The fabricator/manufacturer/facility name: Structural and Steel Products

Material Information

Rocap Number(s): 441480AR
Heat Number(s): 100203581
Nut Mfg. Lot Number(s): 42574A
Washer Mfg. Lot Number(s): D6577
Bolt Specification: ASTM F3125, A325
Bolt Length(s): 3-1/2""
Nut Specification: ASTM A563
Washer Specification: ASTM A436
Finish: ASTM B569
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: 441490A
Rocap Test Requirement(s): Yes
Lubricant Requirements(s): Yes

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.