Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-12-17-1
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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 | 12/17/2018 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 12/26/2018 |
| Sample type | Quality Assurance | A brief description of the sample | A513 Threaded Bar |
| The quantity of what the sample constitutes | 2 bars and 2 Hex nuts | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Russell | Last name of sampler or witnessed by | Lynch |
| Title of sampler | QAI | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form Engineering-SD | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L96-142-18 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Retest |
|---|---|---|---|
| Threaded Bar Specification | ASTM A513 | Threaded Bar Grade | 85 |
| Threaded Bar Type | Plain | Rebar Size | 11 |
| Nut Specification for Threaded Bar | A29 | System Manufacturer | Williams Form Engineering |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | ASTM A153 galvanized | Bar Heat Number(s) | 4121251 |
| Nut Heat Number(s) | 8296322 | Bar Lot Number | |
| Nut Lot Number | 10L5D | Coupler Heat Number(s) | |
| Coupler Grade |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-12-17-1-1 ASTM A615-15 (Verified)
DIME Test ID: 2018-12-17-1-2 ASTM A615-15 (Verified)