Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-10-21-3

Project Information

Project IdentifiersProject ID: 88888
DEA: STOCK
EFIS: STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date10/21/2020 Sample Unique Key3
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 testing10/23/2020
Sample typeStock A brief description of the sample2 1/2" x 42" HDG anchor bolts
The quantity of what the sample constitutes48 From where was the sample collectedManufacturer
First name of sampler or witnessed bySteve Last name of sampler or witnessed byHall
Title of samplerCT METS QA INSPECTOR Telephone number of sampler6466327821
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameA and M Nut and Bolt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL134-256-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)Bolt 3094713 Nut 190483 Washer 209034 Nut Mfg. Lot Number(s)DEBL
Washer Mfg. Lot Number(s)209034 Bolt SpecificationASTM F1554-15 Gr 55-S1
Bolt Length(s)42" Nut SpecificationASTM A563 Gr. DH
Washer SpecificationASTM F436 FinishHDG
Diameter/Size2 1/2" Bolt Mfg. Lot Number50998-ppo
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

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