Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Laboratory

DIME Sample ID 2021-06-11-2

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 Date06/11/2021 Sample Unique Key2
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 typeStock A brief description of the sampleanchor bolt assemblies
The quantity of what the sample constitutes220 From where was the sample collectedManufacturer
First name of sampler or witnessed byChris Last name of sampler or witnessed byDsouza
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameA M Nut and Bolt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL132-073-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)33883-5804469504
Washer Mfg. Lot Number(s)D9692 Bolt SpecificationASTM F1544
Bolt Length(s)12" Nut SpecificationASTM A194 Heavy Hex Nut, Grade 2H
Washer SpecificationASTM F436 FinishHot Dip Galvanized
Diameter/Size5/8" Bolt Mfg. Lot Number3093323
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments