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Sample Record for 2023-05-31-1

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: 2023-05-31-1
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: 05/31/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/05/2023
The quantity of what the sample constitutes: 55 anchor bolts
A brief description of the sample: F1554 gr. 55 1" -8 x 24" x 4" anchor bolts
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): 1202047141
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: ASTM F1554 gr. 55
Bolt Length(s): 24" x 4"
Nut Specification: n/ a
Washer Specification: n/ a
Finish: F2329
Diameter/Size: 1" -8
Bolt Mfg. Lot Number: 120204714160
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results