Sample Record
Owner Lab
- CT QASI - Los Angeles Field Laboratory
DIME Sample ID 2019-12-12-4
Project Information
| Project Identifiers | DEA: No Project |
|---|---|
| DIST-CO-RTE-PM | --- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project identifier for material not associated with a project |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 12/12/2019 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 testing | 12/16/2019 |
| Sample type | Quality Assurance | A brief description of the sample | A563-DH HDG Nut |
| The quantity of what the sample constitutes | 7 - 16200 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Hitesh | Last name of sampler or witnessed by | Patel |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 9168691602 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Blue Circle Corp | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L131-269-19 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | n/a |
|---|---|---|---|
| Heat Number(s) | 190519 Nut | Nut Mfg. Lot Number(s) | 31370-190519 |
| Washer Mfg. Lot Number(s) | n/a | Bolt Specification | n/a |
| Bolt Length(s) | n/a | Nut Specification | A563-DH |
| Washer Specification | n/a | Finish | HDG |
| Diameter/Size | 5/8" | Bolt Mfg. Lot Number | n/a |
| Rocap Test Requirement(s) | no | Lubricant Requirements(s) |
Submitted Tests
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