Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2018-03-19-14
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212795 DEA: 05937704 EFIS: 0514901244 Permit Numbers: 05176UB0132 |
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DIST-CO-RTE-PM | 05-MON-68-4.04 |
Award Date | 09/06/2017 |
Closeout Date | 05/24/2019 |
Work Description | Install a water pipeline bridge including a 36 inch diameter steel casing |
Location Description | County of Monterey |
QA Service Level | 1 (Verified on 09/25/2017) |
Sample Information
Sample Taken Date | 03/19/2018 | Sample Unique Key | 14 |
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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 | 03/26/2018 |
Sample type | Quality Assurance | A brief description of the sample | A722 HDG Threaded Bars |
The quantity of what the sample constitutes | Two Threaded Rod Assemblies | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | James | Last name of sampler or witnessed by | Doe |
Title of sampler | QA Inspector | Telephone number of sampler | (503) 918-4918 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | TL-101# 836243 |
The fabricator/manufacturer/facility name | Coastal Fabrication | Transportation Laboratory (TL) Number | C836243 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | B358-024-18 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
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Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 150 |
Threaded Bar Type | Deformed | Rebar Size | 1.25" |
Nut Specification for Threaded Bar | Unknown | System Manufacturer | Williams Form |
Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
Coating Standards | Uncoated | Bar Heat Number(s) | 62143718 |
Nut Heat Number(s) | 8196752 | Bar Lot Number | Unknown |
Nut Lot Number | 32N9D | Coupler Heat Number(s) | Unknown |
Coupler Grade | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-03-19-14-1 ASTM A722-15 (Verified)
DIME Test ID: 2018-03-19-14-2 ASTM A722-15 (Verified)