Sample Record

Owner Lab

  • CT D04 - Vallejo Field Laboratory

DIME Sample ID 2019-09-27-3

Project Information

Project IdentifiersProject ID: 214274
DEA: 010J7304
EFIS: 0119000082
MINOR: 01A2002
DIST-CO-RTE-PM01-MEN-1-18.0/23.0, 18.0-23.0
Award Date03/28/2019
Closeout Date11/17/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 09/30/2019)

Sample Information

Sample Taken Date09/27/2019 Sample Unique Key3
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 sampleA325 Bolt,nut and washer
The quantity of what the sample constitutes22 From where was the sample collectedDistributor
First name of sampler or witnessed byEd Last name of sampler or witnessed byFleming
Title of samplerTET Telephone number of sampler707-310-2029
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBay Bolt,Nuor,Sabre Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB10-196-19 Structure unique identifier23-men
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)4881-01
Heat Number(s)DL17101274 Nut Mfg. Lot Number(s)DL1710127401
Washer Mfg. Lot Number(s)0619-188 Bolt SpecificationA325
Bolt Length(s)2" Nut Specification1045L
Washer SpecificationF436 HDG FinishHDG
Diameter/Size1-1/8" Bolt Mfg. Lot Number160850A
Rocap Test Requirement(s)A325 Lubricant Requirements(s)Nut only

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments