Sample Record
Owner Lab
- CT QASI - Los Angeles Field Laboratory
DIME Sample ID 2020-07-22-4
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 88888 DEA: STOCK EFIS: STOCK |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 07/22/2020 | Sample Unique Key | 4 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 07/27/2020 |
| Sample type | Stock | A brief description of the sample | 3/4"-10 x 15" Anchor bolt assemblies |
| The quantity of what the sample constitutes | 48 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 6466327821 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | A and M Nut and Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L134-158-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Bolt 58035126-03 Nuts 6215104903 Washers 189090 | Nut Mfg. Lot Number(s) | 31662-6215104903 |
| Washer Mfg. Lot Number(s) | 314460 | Bolt Specification | ASTM A1554 Gr. 55-S1 |
| Bolt Length(s) | 15" with 2" hook | Nut Specification | ASTM A194 Gr. 2H |
| Washer Specification | ASTM F436 | Finish | HDG |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | 50237-PPO |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
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