Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-02-13-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 77777 DEA: CHEM-STOCK EFIS: CHEM-STOCK |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 02/13/2020 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | Retest | A brief description of the sample | F1554 Grade 55 HDG Anchor Bolts |
| The quantity of what the sample constitutes | 172 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cory | Last name of sampler or witnessed by | Ehlert |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | (925)338-7058 |
| Laboratory sample identification | Linked DIME Sample ID | 2020-01-23-7 | |
| The fabricator/manufacturer/facility name | A 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 Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Retest |
|---|---|---|---|
| Threaded Bar Specification | ASTM A529 | Threaded Bar Grade | 55 |
| Threaded Bar Type | Rebar Size | ||
| Nut Specification for Threaded Bar | N/A | System Manufacturer | Gerau |
| Epoxy Coating Color | NA | Threaded Bar Application | |
| Coating Standards | ASTM A153 galvanized | Bar Heat Number(s) | 58039813-06 |
| Nut Heat Number(s) | Bar Lot Number | 48601-PPO | |
| Nut Lot Number | Coupler Heat Number(s) | ||
| Coupler Grade |
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. | |||