Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-03-28-10
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Project Information
| Project Identifiers | Project ID: 993870 DEA: 120R5604 EFIS: 1218000117 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5,55,73,91,133,405-var |
| Award Date | 04/12/2023 |
| Closeout Date | Not set |
| Work Description | PLACE RHMA-G, HMA, SLAB REPLACEMENT AND JPCP. |
| Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 06/14/2022) |
Sample Information
| Sample Taken Date | 03/28/2024 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 03/29/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1" dia. ASTM A722 |
| The quantity of what the sample constitutes | 5 pieces | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 916-767-3535 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | DSI | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-019-24 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 18 |
| Threaded Bar Type | Deformed | Rebar Size | #8 |
| Nut Specification for Threaded Bar | A519 GRADE 1026 | System Manufacturer | DSI |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | 58059019/04 |
| Nut Heat Number(s) | C223018 | Bar Lot Number | 04 |
| Nut Lot Number | Coupler Heat Number(s) | N/A | |
| Coupler Grade | N/A |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-03-28-10-1 ASTM A722-18 (Verified)
DIME Test ID: 2024-03-28-10-2 ASTM A722-18 (Verified)