Sample Record

DIME Sample ID 2023-10-12-5

Project Information

Project IdentifiersProject ID: 2384
DEA: 044A8604
DIST-CO-RTE-PM04-SF-80-6.3
Award Date11/13/2007
Closeout Date06/08/2011
Work DescriptionREBUILD DAMAGED BRIDGE FENDER SYSTEM
Location DescriptionNot set
QA Service Level1 (Verified on 04/29/2011)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/12/2023 Sample Unique Key5
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 4 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) FormL115-102-23
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)75075291 Code 32U5D Bar Lot Number
Nut Lot Number Coupler Heat Number(s)
Coupler GradeN/A

Submitted Tests

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