Sample Record

DIME Sample ID 2019-10-28-8

Project Information

Project IdentifiersProject ID: 212036
DEA: 044K2404
EFIS: 0417000284
DIST-CO-RTE-PM04-MRN,MRN-1-10.9, 10.8/10.9, 10.90, 6.6/10.9
Award Date01/31/2017
Closeout Date10/17/2022
Work DescriptionConstruct Solier Pile Wall
Location DescriptionNot set
QA Service Level1 (Verified on 03/17/2017)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/28/2019 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sampleB7X Nuts for 38mm GDIA The quantity of what the sample constitutes800
From where was the sample collectedManufacturer First name of sampler or witnessed byBrian
Last name of sampler or witnessed byMurray Title of samplerQA
Telephone number of sampler213 435 4055 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameWilliams Form Engineering
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL140-045-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingAuthorization Testing
Threaded Bar SpecificationASTM A513 Threaded Bar Grade513
Threaded Bar Type Rebar Size
Nut Specification for Threaded BarASTM A108 System ManufacturerWillaims Form Engineering
Epoxy Coating ColorNA Threaded Bar ApplicationSoil Nail
Coating StandardsASTM A123 galvanized Bar Heat Number(s)4173505 and 4124818
Nut Heat Number(s)8295752 Bar Lot NumberC21032757 and C21032856
Nut Lot Number Coupler Heat Number(s)M54421
Coupler Grade90

Submitted Tests

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