Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2019-08-21-2

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 Date08/21/2019 Sample Unique Key2
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 testing08/26/2019
Sample typeAcceptance A brief description of the sample3/4" x 20" F1554 GR55 Hex Bolts
The quantity of what the sample constitutes1 From where was the sample collectedFabricator
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of samplerQA Inspector Telephone number of sampler707-342-8602
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) FormL110-108-19 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)NA
Heat Number(s)3085621 Nut Mfg. Lot Number(s)NA
Washer Mfg. Lot Number(s)NA Bolt SpecificationASTM F1554
Bolt Length(s)20" Nut SpecificationNA
Washer SpecificationNA FinishHot Dip Galvanized
Diameter/Size3/4" Bolt Mfg. Lot Number56059-1
Rocap Test Requirement(s)NA Lubricant Requirements(s)NA

Submitted Tests

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