Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-10-13-1
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Project Information
| Project Identifiers | Project ID: 210196 DEA: 100P9224 EFIS: 1014000079 |
|---|---|
| DIST-CO-RTE-PM | 10-MPA-140-42.0/42.7 |
| Award Date | 12/10/2014 |
| Closeout Date | 07/09/2019 |
| Work Description | Ferguson Slide Talus Removal (Phase 1). NOTIFY SMR BEFORE RESPONDING TO ANY TESTING OR SOURCE INSPECTION REQUESTS. Caltrans is the Implementing Agency. CMGC Project. Phase 2 (EA 10-0P9214) to begin in 2016. PROJECT ON HOLD PENDING FURTHER STUDY; 4/01/2016 |
| Location Description | In Mariposa, Mariposa County, on State Route 140 near El Portal Road Bridge to 0.5 miles W of South Fork Merced River Bridge. Ferguson Slide. |
| QA Service Level | 1 (Verified on 02/10/2015) |
Sample Information
| Sample Taken Date | 10/13/2017 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 10/18/2017 |
| Sample type | Quality Assurance | A brief description of the sample | threaded bar, nuts, coupler |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
| Title of sampler | QAI | Telephone number of sampler | 707-342-8602 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | DSI | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L110-014-17 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 150 |
| Threaded Bar Type | Plain | Rebar Size | 3in |
| Nut Specification for Threaded Bar | N/A | System Manufacturer | DSI |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | NF15202008 |
| Nut Heat Number(s) | 155585 | Bar Lot Number | 11563 |
| Nut Lot Number | N/A | Coupler Heat Number(s) | L1085 |
| Coupler Grade | 1026 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-10-13-1-1 ASTM A722-15 (Verified)
DIME Test ID: 2017-10-13-1-2 ASTM A722-15 (Verified)