Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2019-02-13-7

Project Information

Project Identifiers
DEA: No Project
DIST-CO-RTE-PM---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project identifier for material not associated with a project
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date02/13/2019 Sample Unique Key7
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 sample3/4" F844 MG Washer
The quantity of what the sample constitutes1 lot of 137 From where was the sample collectedFabricator
First name of sampler or witnessed byRussell Last name of sampler or witnessed byLynch
Title of sampler Telephone number of sampler3609216934
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUIS Lindon UT Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL96-044-19 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s)M2789 Bolt SpecificationN/A
Bolt Length(s)N/A Nut SpecificationN/A
Washer SpecificationF844 Finish
Diameter/Size3/4" Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.