Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2022-01-11-12
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Project Information
| Project Identifiers | Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 01/11/2022 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 testing | 01/11/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 2-1/2" Anchor Bolt Nuts |
| The quantity of what the sample constitutes | 150 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Lund |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 3854470624 |
| Laboratory sample identification | na | Linked DIME Sample ID | na |
| The fabricator/manufacturer/facility name | Universal Industrial Sales Inc | Transportation Laboratory (TL) Number | na |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-009-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
|---|---|---|---|
| Heat Number(s) | 201548 | Nut Mfg. Lot Number(s) | DECN |
| Washer Mfg. Lot Number(s) | na | Bolt Specification | na |
| Bolt Length(s) | na | Nut Specification | A563-DH |
| Washer Specification | na | Finish | Hot Dip Galvanize |
| Diameter/Size | 2-1/2" | Bolt Mfg. Lot Number | na |
| Rocap Test Requirement(s) | na | Lubricant Requirements(s) | Wax and Dye |
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. | |||