Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-08-28-2
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214511 DEA: 010E0004 EFIS: 0113000091 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-84.4/84.8 |
| Award Date | 01/29/2020 |
| Closeout Date | 11/22/2023 |
| Work Description | BRIDGE RAIL REPLACEMENT. |
| Location Description | HUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE |
| QA Service Level | 1 (Verified on 11/13/2019) |
Sample Information
| Sample Taken Date | 08/28/2020 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 08/31/2020 |
| Sample type | Quality Assurance | A brief description of the sample | 1 3/8" threaded rod with HHN |
| The quantity of what the sample constitutes | 15 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 6466327821 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form Engineering-SD | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L134-182-20 | Structure unique identifier | |
| Structure name | 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 | 18 |
| Threaded Bar Type | Plain | Rebar Size | #11 |
| Nut Specification for Threaded Bar | ASTM A 29 | System Manufacturer | Schwager Davis |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | 62151303-04 |
| Nut Heat Number(s) | 74116251 | Bar Lot Number | N/A |
| Nut Lot Number | 36E3D | Coupler Heat Number(s) | N/A |
| Coupler Grade | N/A |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-08-28-2-1 ASTM A722-15 (Verified)
DIME Test ID: 2020-08-28-2-2 ASTM A722-15 (Verified)
