Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2024-02-29-6

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 Date02/29/2024 Sample Unique Key6
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing02/29/2024
Sample typeQuality Assurance A brief description of the sampleF1554 Gr 105 Hex Bolt
The quantity of what the sample constitutes66 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byLund
Title of samplerCT METS QA INSPECTOR Telephone number of sampler385-452-2398
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUniversal Industrial Sales, Inc. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB390-027-24 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)na
Heat Number(s)58058092 Nut Mfg. Lot Number(s)na
Washer Mfg. Lot Number(s)na Bolt SpecificationF1554 Gr 105
Bolt Length(s)24" Nut Specificationna
Washer Specificationna FinishHDG
Diameter/Size1-1/4" Bolt Mfg. Lot Number77860-4
Rocap Test Requirement(s)na Lubricant Requirements(s)na

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