Sample Record

Owner Lab

  • QFC Inductries

DIME Sample ID 2022-05-20-31

Project Information

Project IdentifiersProject ID: 77777
DEA: STOCK-CHEM
EFIS: STOCK-CHEM
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date05/20/2022 Sample Unique Key31
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 typeQuality Control A brief description of the sample1.5x4.25 Hvy Hex Bolt
The quantity of what the sample constitutes8 From where was the sample collectedManufacturer
First name of sampler or witnessed byBrad Last name of sampler or witnessed byCiszewski
Title of sampler Telephone number of sampler8649825122
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameQFC Industries Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt Specification1.5x4.25
Bolt Length(s) Nut SpecificationN/A
Washer SpecificationN/A Finish
Diameter/Size Bolt Mfg. Lot Number
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