Sample Record

Owner Lab

  • LAC Metro

DIME Sample ID 2024-08-15-121

Project Information

Project IdentifiersProject ID: 1000357
DEA: 07341304
EFIS: 0717000187
DIST-CO-RTE-PM07---
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level2 (Verified on 12/03/2024)

Sample Information

Sample Taken Date08/15/2024 Sample Unique Key121
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 testing08/23/2024
Sample typeQuality Assurance A brief description of the sample3/4" x 3 1/2" Heavy Hex Bolt Assembly
The quantity of what the sample constitutes26 Bolt Assemblies From where was the sample collectedSource
First name of sampler or witnessed byPaul Last name of sampler or witnessed byMortsolf
Title of samplerQA Inspector Telephone number of sampler909 810-0916
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUIS Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)1532078 Nut Mfg. Lot Number(s)35414-S-20747960
Washer Mfg. Lot Number(s)19387-119909 Bolt SpecificationASTM A325
Bolt Length(s) Nut SpecificationASTM A563
Washer SpecificationASTM F436 Finish
Diameter/Size Bolt Mfg. Lot NumberL723Q1
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
20-S190 RE241077pdf10/11/2024   Info

Test File Attachments