Sample Record
Owner Lab
- LAC Metro
DIME Sample ID 2024-08-15-120
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000357 DEA: 07341304 EFIS: 0717000187 |
|---|---|
| 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 | 120 |
|---|---|---|---|
| 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 1/4" x 4" Heavy Hex Bolt Assembly |
| The quantity of what the sample constitutes | 6 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) | 100201759 | Nut Mfg. Lot Number(s) | 18876-144429 |
| Washer Mfg. Lot Number(s) | D8476 | Bolt Specification | ASTM A325 |
| Bolt Length(s) | Nut Specification | ASTM A563 | |
| Washer Specification | ASTM F436 | Finish | |
| Diameter/Size | 1 1/4" x 4" | Bolt Mfg. Lot Number | 100201759 |
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 20-S190 RE241081 | 10/11/2024 | Info |