Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-04-05-9

Project Information

Project IdentifiersProject ID: 88888
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set

Sample Information

Sample Taken Date04/05/2023 Sample Unique Key9
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 Assurance A brief description of the sample3/4" x 15" anchor bolt
The quantity of what the sample constitutes280 pcs. From where was the sample collectedManufacturer
First name of sampler or witnessed byJacob Last name of sampler or witnessed byGarcia
Title of sampler Telephone number of sampler3109128014
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameA & M Nut & Bolt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL169-014-23 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)5804978708 Nut Mfg. Lot Number(s)5805312403
Washer Mfg. Lot Number(s)B64398 Bolt SpecificationASTM F1554
Bolt Length(s)15" Nut SpecificationASTM A194
Washer SpecificationASTM F436 FinishHDG
Diameter/Size3/4" 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
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments