Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2024-03-25-1
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Project Information
| Project Identifiers | Project ID: 994574 DEA: 050C7334 EFIS: 0518000116 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-1-10.5/13.4 |
| Award Date | 06/29/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs |
| Location Description | SANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/13/2023) |
Sample Information
| Sample Taken Date | 03/25/2024 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 03/25/2024 |
| Sample type | Authorization | A brief description of the sample | ASTM A615 Gr 75 bar |
| The quantity of what the sample constitutes | 1 Lot | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Z Systems | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B373-027-24 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
| Threaded Bar Type | Deformed | Rebar Size | #9 |
| Nut Specification for Threaded Bar | ASTM A897 | System Manufacturer | Z Systems |
| Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
| Coating Standards | Uncoated | Bar Heat Number(s) | A216934 |
| Nut Heat Number(s) | L193 | Bar Lot Number | |
| Nut Lot Number | Coupler Heat Number(s) | ||
| Coupler Grade |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-03-25-1-1 ASTM A615-20 (Verified)
DIME Test ID: 2024-03-25-1-2 ASTM A615-20 (Verified)