Sample Record for 2023-01-13-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993782 DEA: 07339604 EFIS: 0717000157
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-14-R29.0/R29.5
Work Description: CONSTRUCT SLOPE BETTERMENT.
Location Description: LOS ANGELES COUNTY IN SANTA CLARITA FROM 0.9 MILE NORTH OF PLACERITA CANYON ROAD UNDERCROSSING TO 0.2 MILE SOUTH OF GOLDEN VALLEY ROAD OVERCROSSING
Contractor Name: SUKUT CONSTRUCTION, LLC
Contractor Address: 4010 W. CHANDLER AVENUE, SANTA ANA CA 92704
Resident Engineer: Ali Mohsenzadeh Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2023-01-13-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 01/13/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/18/2023
The quantity of what the sample constitutes: 30
A brief description of the sample: #8 Gr 80 Bar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Nucor Skyline
Material Information
Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 80
Threaded Bar Type:
Rebar Size:
Nut Specification for Threaded Bar: ASTM A108
System Manufacturer: Nucor Skyline
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): 3700031281,3700031282,3700035231,3700035232,3
Nut Heat Number(s): 5393689
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s):
Coupler Grade:
Test Results
