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Sample Record for 2022-02-09-1

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

Project Information

Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL 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: 2022-02-09-1
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Vallejo Field Laboratory
Sample Organization Contact: (510) 774-6009
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 02/09/2022
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1500
A brief description of the sample: White Spring Disc
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cable Moore

Material Information

Rocap Number(s):
Heat Number(s): 733524
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: XXX
Bolt Length(s):
Nut Specification: XXX
Washer Specification: A1074
Finish:
Diameter/Size: .06500 x 2.187"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results