Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2022-03-25-8

Project Information

Project IdentifiersProject ID: 215371
DEA: 042W1204
EFIS: 0421000139
DIST-CO-RTE-PM04-CC,CC/MRN-580-6.9/7.8, 6.9, 7.8, 02, 5
Award Date01/11/2020
Closeout Date09/06/2022
Work DescriptionREPLACEMENT OF GUSSET PLATES AT VARIOUS LOCATIONS
Location DescriptionRichmond San Rafael Bridge
QA Service Level1 (Verified on 12/14/2020)

Sample Information

Sample Taken Date03/25/2022 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testing03/31/2022 Sample typeQuality Assurance
A brief description of the sample1-1/8x71" A354 BD ATR HDG The quantity of what the sample constitutes20
From where was the sample collectedManufacturer First name of sampler or witnessed byKevin
Last name of sampler or witnessed byCouch Title of sampler
Telephone number of sampler5304170632 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameLiberty Bolt (for LeJeune)
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameRSR Bridge
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingAuthorization Testing
Threaded Bar SpecificationASTM A354 Threaded Bar Grade414
Threaded Bar TypePlain Rebar Size
Nut Specification for Threaded Barna System Manufacturerna
Epoxy Coating ColorNA Threaded Bar ApplicationThreaded Bar
Coating StandardsUncoated Bar Heat Number(s)11722380
Nut Heat Number(s) Bar Lot Number2203252-2
Nut Lot Number Coupler Heat Number(s)
Coupler Grade

Submitted Tests

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