Sample Record

Owner Lab

  • CT HQ - Vallejo Field Laboratory

DIME Sample ID 2025-10-10-1

Project Information

Project IdentifiersProject ID: 1000879
Permit Numbers: 04246MC1163
DIST-CO-RTE-PM04-SM-82-3.7
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 01/06/2025)

Sample Information

Sample Taken Date10/10/2025 Sample Unique Key1
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" threaded rod
The quantity of what the sample constitutes8 threaded rob From where was the sample collectedFabricator
First name of sampler or witnessed byMario Last name of sampler or witnessed byPereira Vaz
Title of samplerAssistant METS Rep Telephone number of sampler916-205-4543
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDrakes Welding Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB407-17-25 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A510 Threaded Bar Grade55
Threaded Bar Type Rebar Size
Nut Specification for Threaded BarN/A System ManufacturerNucor
Epoxy Coating ColorNA Threaded Bar ApplicationThreaded Bar
Coating StandardsUncoated Bar Heat Number(s)1000124156
Nut Heat Number(s) Bar Lot Number
Nut Lot Number Coupler Heat Number(s)
Coupler Grade

Submitted Tests

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