Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-10-02-4
Project Information
Project Identifiers | Project ID: 213357 DEA: 024F2004 EFIS: 0212000071 |
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DIST-CO-RTE-PM | 02-SHA-44-59.4/59.8 |
Award Date | 11/02/2018 |
Closeout Date | 01/04/2021 |
Work Description | BRIDGE REPLACEMENT |
Location Description | SHASTA COUNTY NEAR OLD STATION FROM 0.3 MILE WEST TO 0.2 MILE EAST OF HAT CREEK BRIDGE |
QA Service Level | 1 (Verified on 06/21/2018) |
Sample Information
Sample Taken Date | 10/02/2019 | Sample Unique Key | 4 |
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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 testing | 10/07/2019 |
Sample type | Department Acceptance | A brief description of the sample | 1-3/8" Threaded Bar Grade 150 |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
Title of sampler | QA Inspector | Telephone number of sampler | 707-342-8602 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | DSI | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L110-139-19 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
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Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 150 |
Threaded Bar Type | Deformed | Rebar Size | 11 |
Nut Specification for Threaded Bar | ASTM A521 | System Manufacturer | Jade Sterling |
Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
Coating Standards | Uncoated | Bar Heat Number(s) | 6215081003 |
Nut Heat Number(s) | 100892437 and F119 | Bar Lot Number | NA |
Nut Lot Number | NA | Coupler Heat Number(s) | NA |
Coupler Grade | NA |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-10-02-4-1 ASTM A722-15 (Verified)
DIME Test ID: 2019-10-02-4-2 ASTM A722-15 (Verified)