Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-07-23-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213595 DEA: 044G8804 EFIS: 0413000058 |
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DIST-CO-RTE-PM | 04-ALA-880-10.7 |
Award Date | 12/27/2018 |
Closeout Date | 05/08/2020 |
Work Description | SEISMIC RETROFIT , REPLACE APPROACH SLABS AND EROSION CONTROL |
Location Description | ALAMEDA COUNTY IN FREMONT AT CRANDALL CREEK BRIDGE. |
QA Service Level | 1 (Verified on 01/28/2019) |
Sample Information
Sample Taken Date | 07/23/2019 | Sample Unique Key | 2 |
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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 | 07/26/2019 |
Sample type | Quality Assurance | A brief description of the sample | 2 1/4" threaded bar |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Raymond | Last name of sampler or witnessed by | Aludino |
Title of sampler | Telephone number of sampler | 9167300054 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Williams Form Engineering | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
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 | Rebar Size | ||
Nut Specification for Threaded Bar | ASTM A29/A576 | System Manufacturer | Nucor |
Epoxy Coating Color | NA | Threaded Bar Application | |
Coating Standards | Uncoated | Bar Heat Number(s) | 100894503 |
Nut Heat Number(s) | L9135 | Bar Lot Number | |
Nut Lot Number | Coupler Heat Number(s) | MM19101079 | |
Coupler Grade | ASTM A29 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-07-23-2-1 ASTM A722-15 (Verified)
DIME Test ID: 2019-07-23-2-2 ASTM A722-15 (Verified)
DIME Test ID: 2019-07-23-2-3 ASTM A722-15 (Verified)