Sample Record for 2020-07-14-4
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213598 DEA: 051F75U4 EFIS: 0518000092
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-R36.9/47.7
Work Description: CRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER
Location Description: MONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE
Contractor Name: OHL USA, INC.
Contractor Address: 1920 Main St. Suite 310, Irvine, CA 92614
Resident Engineer: Adam Rianda Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2020-07-14-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Acceptance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 07/14/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/13/2020
The quantity of what the sample constitutes: 72 ea.
A brief description of the sample: 1-1/2" 6 x 29" HDG Rod w/ nut & washer
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Stinger Bridge Iron
Material Information
Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A529
Threaded Bar Grade: 55
Threaded Bar Type: Plain
Rebar Size:
Nut Specification for Threaded Bar: ASTM A194-2H
System Manufacturer: Atlanta Rod and Manufacturing
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A153 galvanized
Bar Heat Number(s): 3092316
Nut Heat Number(s): 75073143
Bar Lot Number: 3092316
Nut Lot Number: 29270-75073143
Coupler Heat Number(s):
Coupler Grade:
Test Results
