Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-06-22-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 210037 DEA: 043G4424 EFIS: 0412000042 |
|---|---|
| DIST-CO-RTE-PM | 04-SF-80-R5.6/7.6 |
| Award Date | 03/22/2018 |
| Closeout Date | 07/24/2023 |
| Work Description | WEST SPAN DAMPER BRACKET A325 BOLT TESTING |
| Location Description | SFOBB WEST SPAN |
| QA Service Level | 1 (Verified on 11/04/2014) |
Sample Information
| Sample Taken Date | 06/22/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Verification | A brief description of the sample | A325 HDG Rocap Assembiy |
| The quantity of what the sample constitutes | 7 ea | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Bay Bolt | Transportation Laboratory (TL) Number | C725808 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B373-067-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 2210-01 |
|---|---|---|---|
| Heat Number(s) | Nut Mfg. Lot Number(s) | 426330A | |
| Washer Mfg. Lot Number(s) | 141843 | Bolt Specification | A325 |
| Bolt Length(s) | 4-3/4" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 1" | Bolt Mfg. Lot Number | 347766A |
| 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. | |||