Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2019-03-25-1
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Project Information
| Project Identifiers | Project ID: 213126 DEA: 051J6604 EFIS: 0051800009 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-192-8.0/12.5 |
| Award Date | 01/09/2018 |
| Closeout Date | 10/29/2020 |
| Work Description | Replace bridges (3) and bridge rails (2) |
| Location Description | In Santa Barbara County in and near Santa Barbara, Montecito, and Carpinteria. |
| QA Service Level | 1 (Verified on 05/14/2018) |
Sample Information
| Sample Taken Date | 03/25/2019 | 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 | 03/25/2019 |
| Sample type | Quality Assurance | A brief description of the sample | Threaded Bar |
| The quantity of what the sample constitutes | 30 all thread bars 50' long | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Weeks |
| Title of sampler | QA | Telephone number of sampler | 310-883-8369 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form San Diego | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L79-124-19 | 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 A615 | Threaded Bar Grade | 150 |
| Threaded Bar Type | Deformed | Rebar Size | 11 |
| Nut Specification for Threaded Bar | A29 Grade 1045 | System Manufacturer | Williams Form Engineering |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | 10884671 |
| Nut Heat Number(s) | 75071080 | Bar Lot Number | NA |
| Nut Lot Number | 36A9D | Coupler Heat Number(s) | NA |
| Coupler Grade | NA |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-03-25-1-1 ASTM A722-15 (Verified)