Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2022-12-13-1
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 | 12/13/2022 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | Department Acceptance | A brief description of the sample | 1" F436 Structural washer |
| The quantity of what the sample constitutes | 100 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Oscar | Last name of sampler or witnessed by | Vizcaino |
| Title of sampler | Telephone number of sampler | 6787558969 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | St Louis Screw and Bolt | 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) | TT0160488 |
|---|---|---|---|
| Heat Number(s) | 10782960, 223651, NLPZ3670 | Nut Mfg. Lot Number(s) | 37327-223651 |
| Washer Mfg. Lot Number(s) | 0921-979 | Bolt Specification | A-325 |
| Bolt Length(s) | 1" x 3-1/4" | Nut Specification | A563-DH |
| Washer Specification | F436-1 | Finish | |
| Diameter/Size | 1" | Bolt Mfg. Lot Number | 048650 |
| 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. | |||