Sample Record

DIME Sample ID 2023-10-12-4

Project Information

Project IdentifiersProject ID: 994245
DEA: 051H4304
EFIS: 0516000073
DIST-CO-RTE-PM05-SB-101-21.4/21.9
Award Date03/02/2023
Closeout DateNot set
Work DescriptionSan Jose Creek Bridge replacement
Location DescriptionSANTA BARBARA COUNTY IN GOLETA FROM ROUTE 101/217 SEPARATION TO 0.3 MILE NORTH OF SAN JOSE CREEK BRIDGE
QA Service Level1 (Verified on 09/19/2022)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/12/2023 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sampleALL Threaded Bar 1-1/4 The quantity of what the sample constitutes 2 Assemblies
From where was the sample collectedDistributor First name of sampler or witnessed byLorenzo
Last name of sampler or witnessed byGarcia Title of samplerQuality Assurance Inspector
Telephone number of sampler17029172503 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameWilliams Form Engineering-SD
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL115-103-23
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A722 Threaded Bar Grade722
Threaded Bar TypeDeformed Rebar Size
Nut Specification for Threaded BarA29 Grade 1045 System ManufacturerGerdau
Epoxy Coating ColorNA Threaded Bar ApplicationThreaded Bar
Coating StandardsUncoated Bar Heat Number(s)58055773
Nut Heat Number(s) Bar Lot Number
Nut Lot Number Coupler Heat Number(s)C205720
Coupler GradeA29-Gr. 1045

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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