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Sample Record for 2020-09-28-6

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 215113 DEA: 021J2404 EFIS: 0220000048 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA,VAR-273,Var-Var
Work Description: PSPS Streetlight Backing plates-Steel Cantilever structure for solar panels
Location Description:
Contractor Name: CAL ELECTRO, INC.
Contractor Address: 3710 Electro Way, Redding, CA 96002
Resident Engineer: Michael Zdenek Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-09-28-6
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 09/28/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 32
A brief description of the sample: 1" Domestic Hardened Washers
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Portland Bolt

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A449
Threaded Bar Grade: 36
Threaded Bar Type:
Rebar Size:
Nut Specification for Threaded Bar: NA
System Manufacturer: NA
Epoxy Coating Color: NA
Threaded Bar Application:
Coating Standards: ASTM A123 galvanized
Bar Heat Number(s): NA
Nut Heat Number(s): NA
Bar Lot Number: NA
Nut Lot Number: NA
Coupler Heat Number(s):
Coupler Grade:

Test Results