Sample Record for 2017-12-11-6
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212312 DEA: 100X9104 EFIS: 1013000041
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ,TUO,STA-4,120,132-Var
Work Description: MITIGATING SCOUR, PLACING ROCK SLOPE PROTECTION,AND REPAIRING
Location Description: SAN JOAQUIN,STANISLAUS, AND TUOLUMNE COUNTIES AT VARIOUS LOCATIONS.
Contractor Name: Dreambuilder Construction Corporation
Contractor Address: 1324 E LAWSON LANE, PLACENTIA CA 92870
Resident Engineer: Quan Trinh Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2017-12-11-6
TL Number from the TL Form:
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: 5625005861
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 12/11/2017
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: good
A brief description of the sample: A615 Grade 75 HDG Threaded Bar
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: metal fab
Material Information
Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Plain
Rebar Size: 3/4"
Nut Specification for Threaded Bar: unknown
System Manufacturer: nucor
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s):
Nut Heat Number(s):
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s):
Coupler Grade:
Test Results
