Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-03-21-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 03/21/2024 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 testing | 04/29/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4"x15" x 2" Hook Anchor Bolt |
| The quantity of what the sample constitutes | 158 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Adrian | Last name of sampler or witnessed by | Sanchez |
| Title of sampler | Telephone number of sampler | 2137133499 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | A&M Nut & Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L159-036-24 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 3125716, 234285, 124421 | Nut Mfg. Lot Number(s) | 39255-234285 |
| Washer Mfg. Lot Number(s) | E3639 | Bolt Specification | ASTM F1554 |
| Bolt Length(s) | 15" | Nut Specification | ASTM A194 |
| Washer Specification | ASTM F436 | Finish | ASTM A159/F2329 HDG |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | |
| 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. | |||