Sample Record

Owner Lab

  • CT QASI - Sacramento Field Laboratory

DIME Sample ID 2020-09-29-6

Project Information

Project IdentifiersProject ID: 215113
DEA: 021J2404
EFIS: 0220000048
DIST-CO-RTE-PM02-SHA-273-
Award DateNot set
Closeout DateNot set
Work DescriptionPSPS Streetlight Backing plates-Steel Cantilever structure for solar panels
Location DescriptionNot set
QA Service Level1 (Verified on 08/17/2020)

Sample Information

Sample Taken Date09/29/2020 Sample Unique Key6
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 sample1" Domestic HDG ASTM F436 Type 1 hardened washers
The quantity of what the sample constitutes32 From where was the sample collectedDistributor
First name of sampler or witnessed byRoland Last name of sampler or witnessed byMaynard
Title of samplerQA Inspector Telephone number of sampler(51) 774-1269
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePortland Bolt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS64-006-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)208374 Nut Mfg. Lot Number(s)NA
Washer Mfg. Lot Number(s)0320-424 Bolt SpecificationNA
Bolt Length(s)NA Nut SpecificationNA
Washer SpecificationASTM F436 FinishHDG
Diameter/Size1" Bolt Mfg. Lot NumberNA
Rocap Test Requirement(s) Lubricant Requirements(s)NA

Submitted Tests

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