Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2017-06-30-1

Project Information

Project IdentifiersProject ID: 210735
DEA: 071193U4
EFIS: 0713000007
DIST-CO-RTE-PM07-LA-10-37.2/42.4
Award Date11/16/2015
Closeout Date07/11/2022
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionIN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA
QA Service Level1 (Verified on 03/07/2016)

Sample Information

Sample Taken Date06/30/2017 Sample Unique Key1
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 testing07/03/2017
Sample typeQuality Assurance A brief description of the sampleA615gr75 threadbar
The quantity of what the sample constitutes2 bars and 2 Hex nuts From where was the sample collectedFabricator
First name of sampler or witnessed byKevin Last name of sampler or witnessed byChurchill
Title of samplerQAI Telephone number of sampler5106933545
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameDSI Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormL02-050-17 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A615 Threaded Bar Grade75
Threaded Bar Type Rebar Size10
Nut Specification for Threaded BarA519 System Manufacturerunknown
Epoxy Coating ColorNA Threaded Bar ApplicationSoil Nail
Coating StandardsUncoated Bar Heat Number(s)Unknown
Nut Heat Number(s)Unknown Bar Lot NumberUnknown
Nut Lot NumberUnknown Coupler Heat Number(s)Unknown
Coupler GradeUnknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments