Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-07-16-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213747 DEA: 080Q9104 EFIS: 0800020580 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-R23.8 |
| Award Date | 01/30/2019 |
| Closeout Date | 07/27/2022 |
| Work Description | RETROFIT BRIDGE PIER WALLS, FOOTINGS AND POLYESTER CONCRETE OVERLAY. |
| Location Description | SAN BERNARDINO COUNTY IN COLTON AT THE SANTA ANA RIVER BRIDGES |
| QA Service Level | 1 (Verified on 03/18/2019) |
Sample Information
| Sample Taken Date | 07/16/2020 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 07/21/2020 |
| Sample type | Department Acceptance | A brief description of the sample | ASTM A722 All-Thread-Bar (150 ksi) |
| The quantity of what the sample constitutes | 2 (2-1/2) dia. threaded bars | 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 | Williams Form Eng | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 150 |
| Threaded Bar Type | Rebar Size | ||
| Nut Specification for Threaded Bar | NA | System Manufacturer | Williams Form Eng |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | 100895747 |
| Nut Heat Number(s) | NA | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-16-3-1 ASTM A722-15 (Verified)
DIME Test ID: 2020-07-16-3-3 ASTM A722-15 (Verified)