Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2018-10-08-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212600 DEA: 07293704 EFIS: 0713000239 |
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DIST-CO-RTE-PM | 07-LA-110,405-8.0/9.0,12.2/13.2 |
Award Date | 02/27/2018 |
Closeout Date | 08/03/2023 |
Work Description | WIDEN SHOULDER AND AUXILIARY LANE OF CONNECTOR. |
Location Description | LOS ANGELES COUNTY IN AND NEAR CARSON ON ROUTE 110 FROM 0.2 MILE NORTH OF TORRANCE BOULEVARD UNDERCROSSING TO 190TH STREET UNDERCROSSING AND ON ROUTE 405 FROM MAIN STREET UNDERCROSSING TO 190TH STREET UNDERCROSSING |
QA Service Level | 1 (Verified on 04/03/2018) |
Sample Information
Sample Taken Date | 10/08/2018 | Sample Unique Key | 1 |
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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 | 10/10/2018 |
Sample type | Quality Assurance | A brief description of the sample | Thread Bar Nuts |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Weeks |
Title of sampler | QA | Telephone number of sampler | 310-883-8369 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Williams Form Engineering-SD | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L79-077-18 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
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Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
Threaded Bar Type | Rebar Size | 9 | |
Nut Specification for Threaded Bar | XXXXX | System Manufacturer | Williams Form Engineering |
Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
Coating Standards | Uncoated | Bar Heat Number(s) | PL16207196 |
Nut Heat Number(s) | 8296508 | Bar Lot Number | NA |
Nut Lot Number | 9J1D | Coupler Heat Number(s) | NA |
Coupler Grade | NA |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-10-08-1-1 ASTM A615-15 (Verified)
DIME Test ID: 2018-10-08-1-2 ASTM A615-15 (Verified)