Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-03-30-27

Project Information

Project IdentifiersProject ID: 88888
DEA: SMTL-STOCK
EFIS: SMTL-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/30/2023 Sample Unique Key27
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 sampleAnchor Bolt assembly F1554 GR55
The quantity of what the sample constitutes570 pcs From where was the sample collectedFabricator
First name of sampler or witnessed byJoaquin Last name of sampler or witnessed byMoreno
Title of sampler Telephone number of sampler7146990897
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Circle Corp 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)1202047141 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationN/A
Bolt Length(s)36 inch Nut SpecificationN/A
Washer SpecificationN/A FinishASTM A123 Galvanized
Diameter/Size1 inch Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments