Sample Record
Owner Lab
- QFC Inductries
DIME Sample ID 2022-05-20-28
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 77777 DEA: CHEM-STOCK EFIS: CHEM-STOCK |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 05/20/2022 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 05/31/2022 |
| Sample type | Quality Control | A brief description of the sample | Bolt, nut, washer |
| The quantity of what the sample constitutes | 12 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Brad | Last name of sampler or witnessed by | Ciszewski |
| Title of sampler | Quality Manager | Telephone number of sampler | 8649825122 |
| Laboratory sample identification | Linked DIME Sample ID | 2022-05-20-1 | |
| The fabricator/manufacturer/facility name | QFC Industries | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Nut 8000013480 Washer 10619030 | Nut Mfg. Lot Number(s) | 465436A |
| Washer Mfg. Lot Number(s) | L578M1 | Bolt Specification | A325-1 |
| Bolt Length(s) | Nut Specification | A563DH | |
| Washer Specification | F436 | Finish | |
| Diameter/Size | Bolt Mfg. Lot Number | ||
| 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. | |||