Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2024-01-10-12

Project Information

Project IdentifiersProject ID: 99999
DEA: 0322222
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level (Verified on 04/05/2013)

Sample Information

Sample Taken Date01/10/2024 Sample Unique Key12
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 testing01/24/2024
Sample typeQuality Assurance A brief description of the sampleASTM F1554 GR 55 Anchor Bolt
The quantity of what the sample constitutes1 Lot of 15ea From where was the sample collectedFabricator
First name of sampler or witnessed byMichael Last name of sampler or witnessed byMaksimovich
Title of samplerQA Inspector Telephone number of sampler9169561839
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Circle Corporation Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS155-002-24 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)1202052357 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationASTM F1554 Grade 55
Bolt Length(s)48" Nut Specificationn/a
Washer Specificationn/a FinishHDG
Diameter/Size2-1/4" Bolt Mfg. Lot Number120205235721
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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Test File Attachments