Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-11-14-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212036 DEA: 044K2404 EFIS: 0417000284 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN,MRN-1-10.9, 10.8/10.9, 10.90, 6.6/10.9 |
| Award Date | 01/31/2017 |
| Closeout Date | 10/17/2022 |
| Work Description | Construct Solier Pile Wall |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/17/2017) |
Sample Information
| Sample Taken Date | 11/14/2018 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | Galv hoolow bars, hex nuts and couplers |
| The quantity of what the sample constitutes | 300 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Ken | Last name of sampler or witnessed by | Varela |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | (562) 440-7716 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form Eng | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L08-074-18 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
| Threaded Bar Type | Rebar Size | ||
| Nut Specification for Threaded Bar | ASTM A29 | System Manufacturer | unknown |
| Epoxy Coating Color | NA | Threaded Bar Application | |
| Coating Standards | ASTM A153 galvanized | Bar Heat Number(s) | 4120583 and 4121251 |
| Nut Heat Number(s) | 8296322 | Bar Lot Number | |
| Nut Lot Number | 38-85D | Coupler Heat Number(s) | 100889235 |
| Coupler Grade | A615 Gr 75 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||