Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-09-14-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213741 DEA: 07325704 EFIS: 0716000089 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-1.7 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | BUILDING CONSTRUCTION IN LOS ANGELES COUNTY IN SANTA FE SPRINGS AT 14044 FREEWAY DRIVE. |
| Location Description | Santa Fe Springs, At 14044 Freeway Drive. |
| QA Service Level | 1 (Verified on 07/08/2019) |
Sample Information
| Sample Taken Date | 09/14/2020 | 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 | 09/18/2020 |
| Sample type | Retest | A brief description of the sample | 1 3/4 TC Bolt |
| The quantity of what the sample constitutes | 15 | From where was the sample collected | Distributor |
| 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 | Bristol Machine | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L134-198-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Bolt 100100767 | Nut Mfg. Lot Number(s) | N/A |
| Washer Mfg. Lot Number(s) | N/A | Bolt Specification | ASTM F1852 |
| Bolt Length(s) | 1 3/4" | Nut Specification | N/A |
| Washer Specification | N/A | Finish | Black |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | 31997-100100767 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||