Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2017-11-06-2

Project Information

Project IdentifiersProject ID: 88888
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set

Sample Information

Sample Taken Date11/06/2017 Sample Unique Key2
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 testing11/07/2017
Sample typeVerification A brief description of the sampleA325 MG Rocap Assembiy
The quantity of what the sample constitutes12ea From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byFlygare
Title of samplerCA METS QA Inspector Telephone number of sampler801-669-2984
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameUIS Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormB76-183-17 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)TToo94966
Heat Number(s)20492490, 166292, 41712300, 164942 Nut Mfg. Lot Number(s)Unytite 24445-166292
Washer Mfg. Lot Number(s)Prestige D4420, Turn a Sure 343Z16 Bolt SpecificationA325 MG
Bolt Length(s)2 3/4 Nut SpecificationA563-DH
Washer SpecificationF436, F959 FinishMG
Diameter/Size3/4" x 2 3/4" Bolt Mfg. Lot NumberSLSB BM0533
Rocap Test Requirement(s) Lubricant Requirements(s)blue dye

Submitted Tests

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