Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2024-09-19-6

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 Date09/19/2024 Sample Unique Key6
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the sampleF1554 Grade 55 HDG Anchor Bolts
The quantity of what the sample constitutes1 of 50 From where was the sample collectedManufacturer
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQuality Assurance Inspector Telephone number of sampler7029172503
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHalo Structural Products Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-128-24 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)79013999 Nut Mfg. Lot Number(s)W000184115
Washer Mfg. Lot Number(s)235406 Bolt SpecificationASTM F1554
Bolt Length(s)13" Nut SpecificationASTM A563 Gr. DH
Washer SpecificationASTM F436 FinishASTM A153
Diameter/Size1" Bolt Mfg. Lot Number7901399901 / Ht. #8000029706
Rocap Test Requirement(s) Lubricant Requirements(s)Green Wax

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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