Sample Record
Owner Lab
- LAC Metro
DIME Sample ID 2024-08-15-119
Project Information
Project Identifiers | Project ID: 1000357 DEA: 07341304 EFIS: 0717000187 |
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DIST-CO-RTE-PM | 07--- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Not set |
Location Description | Not set |
QA Service Level | 2 (Verified on 12/03/2024) |
Sample Information
Sample Taken Date | 08/15/2024 | Sample Unique Key | 119 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 08/23/2024 |
Sample type | Quality Assurance | A brief description of the sample | 1 1/2" x 5 1/2" Heavy Hex Bolt Assemblies |
The quantity of what the sample constitutes | 8 Bolt Assemblies | From where was the sample collected | Source |
First name of sampler or witnessed by | Paul | Last name of sampler or witnessed by | Mortsolf |
Title of sampler | QA Inspector | Telephone number of sampler | 909 810-0916 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | UIS | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
---|---|---|---|
Heat Number(s) | 208002390 | Nut Mfg. Lot Number(s) | BRCW6 |
Washer Mfg. Lot Number(s) | D9791 | Bolt Specification | ASTM A325 |
Bolt Length(s) | Nut Specification | ASTM A563 | |
Washer Specification | ASTM F436 | Finish | |
Diameter/Size | 1 1/2" | Bolt Mfg. Lot Number | M5635 |
Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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20-S190 RE241079 | 10/11/2024 | Info |