Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2020-02-13-4

Project Information

Project IdentifiersProject ID: 77777
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set

Sample Information

Sample Taken Date02/13/2020 Sample Unique Key4
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 testingNot set
Sample typeRetest A brief description of the sampleF1554 Grade 55 HDG Anchor Bolts
The quantity of what the sample constitutes172 From where was the sample collectedManufacturer
First name of sampler or witnessed byCory Last name of sampler or witnessed byEhlert
Title of samplerCALTRANS METS QA INSPECTOR Telephone number of sampler(925)338-7058
Laboratory sample identification Linked DIME Sample ID2020-01-23-7
The fabricator/manufacturer/facility nameA and M Nut and Bolt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingRetest
Threaded Bar SpecificationASTM A529 Threaded Bar Grade55
Threaded Bar Type Rebar Size
Nut Specification for Threaded BarN/A System ManufacturerGerau
Epoxy Coating ColorNA Threaded Bar Application
Coating StandardsASTM A153 galvanized Bar Heat Number(s)58039813-06
Nut Heat Number(s) Bar Lot Number48601-PPO
Nut Lot Number Coupler Heat Number(s)
Coupler Grade

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments