Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2019-03-08-7

Project Information

Project Identifiers
DEA: No Project
DIST-CO-RTE-PM---
Award DateNot set
Closeout Date11/01/2022
Work DescriptionSpecial project identifier for material not associated with a project
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/08/2019 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 sampleF1554 Anchor Rods Nuts Washers
The quantity of what the sample constitutes3 From where was the sample collectedSource
First name of sampler or witnessed byPrakash Last name of sampler or witnessed byPatel
Title of samplerTET II Telephone number of sampler5626654686
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAMNB Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL11-001-19 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) Bolt SpecificationF1554
Bolt Length(s)1-1/4" x 42" Nut SpecificationA294
Washer SpecificationA563 Finish
Diameter/Size1-1/4" x 42" Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

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

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Test File Attachments