Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-10-13-5

Project Information

Project IdentifiersProject ID: 88888
DEA: SMTL-STOCK
EFIS: SMTL-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date10/13/2023 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeStock
A brief description of the sample1.250 GR 150cold rolled threaded bar The quantity of what the sample constitutes64 pcs
From where was the sample collectedFabricator First name of sampler or witnessed byJoaquin
Last name of sampler or witnessed byMoreno Title of sampler
Telephone number of sampler7146990897 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) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingAuthorization Testing
Threaded Bar SpecificationASTM A722 Threaded Bar Grade150
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)A193341, A203330
Nut Heat Number(s)5317 Bar Lot Number
Nut Lot Number Coupler Heat Number(s)
Coupler Grade

Submitted Tests

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