Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2020-07-14-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213598 DEA: 051F75U4 EFIS: 0518000092 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-101-R36.9/47.7 |
| Award Date | 01/16/2019 |
| Closeout Date | 01/11/2024 |
| Work Description | CRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER |
| Location Description | MONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE |
| QA Service Level | 1 (Verified on 10/11/2018) |
Sample Information
| Sample Taken Date | 07/14/2020 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 07/13/2020 |
| Sample type | Acceptance | A brief description of the sample | 1-1/2" 6 x 29" HDG Rod w/ nut & washer |
| The quantity of what the sample constitutes | 72 ea. | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Gramlick |
| Title of sampler | Telephone number of sampler | 5104537830 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Stinger Bridge Iron | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B-3-200-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A529 | Threaded Bar Grade | 55 |
| Threaded Bar Type | Plain | Rebar Size | |
| Nut Specification for Threaded Bar | ASTM A194-2H | System Manufacturer | Atlanta Rod and Manufacturing |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | ASTM A153 galvanized | Bar Heat Number(s) | 3092316 |
| Nut Heat Number(s) | 75073143 | Bar Lot Number | 3092316 |
| Nut Lot Number | 29270-75073143 | 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. | |||