Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-01-13-1

Project Information

Project IdentifiersProject ID: 993782
DEA: 07339604
EFIS: 0717000157
DIST-CO-RTE-PM07-LA-14-R29.0/R29.5
Award Date07/06/2022
Closeout Date11/05/2025
Work DescriptionCONSTRUCT SLOPE BETTERMENT.
Location DescriptionLOS ANGELES COUNTY IN SANTA CLARITA FROM 0.9 MILE NORTH OF PLACERITA CANYON ROAD UNDERCROSSING TO 0.2 MILE SOUTH OF GOLDEN VALLEY ROAD OVERCROSSING
QA Service Level1 (Verified on 05/11/2022)

Sample Information

Sample Taken Date01/13/2023 Sample Unique Key1
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 testing01/18/2023
Sample typeQuality Assurance A brief description of the sample#8 Gr 80 Bar
The quantity of what the sample constitutes30 From where was the sample collectedManufacturer
First name of sampler or witnessed byAdrian Last name of sampler or witnessed bySanchez
Title of sampler Telephone number of sampler2137133499
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameNucor Skyline Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL159-004-23 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A615 Threaded Bar Grade80
Threaded Bar Type Rebar Size
Nut Specification for Threaded BarASTM A108 System ManufacturerNucor Skyline
Epoxy Coating ColorNA Threaded Bar ApplicationThreaded Bar
Coating StandardsUncoated Bar Heat Number(s)3700031281,3700031282,3700035231,3700035232,3
Nut Heat Number(s)5393689 Bar Lot Number
Nut Lot Number Coupler Heat Number(s)
Coupler Grade

Submitted Tests

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