Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Laboratory

DIME Sample ID 2021-06-22-4

Project Information

Project IdentifiersProject ID: 210037
DEA: 043G4424
EFIS: 0412000042
DIST-CO-RTE-PM04-SF-80-R5.6/7.6
Award Date03/22/2018
Closeout DateNot set
Work DescriptionWEST SPAN DAMPER BRACKET A325 BOLT TESTING
Location DescriptionSFOBB WEST SPAN
QA Service Level1 (Verified on 11/04/2014)

Sample Information

Sample Taken Date06/22/2021 Sample Unique Key4
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 typeVerification A brief description of the sampleA325 HDG Rocap Assembiy
The quantity of what the sample constitutes7 ea From where was the sample collectedDistributor
First name of sampler or witnessed byRyan Last name of sampler or witnessed byParr
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBay Bolt Transportation Laboratory (TL) NumberC725808
Inspector Lot Number from the Transportation Laboratory (TL) FormB373-067-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)2210-03
Heat Number(s) Nut Mfg. Lot Number(s)426330A
Washer Mfg. Lot Number(s)203002 Bolt SpecificationA325
Bolt Length(s)6-1/2" Nut SpecificationA563
Washer SpecificationF436 FinishHDG
Diameter/Size1" Bolt Mfg. Lot NumberL69901
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

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