Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-07-16-2
Project Information
Project Identifiers | Project ID: 213747 DEA: 080Q9104 EFIS: 0800020580 |
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DIST-CO-RTE-PM | 08-SBD-10-R23.8 |
Award Date | 01/30/2019 |
Closeout Date | 07/27/2022 |
Work Description | RETROFIT BRIDGE PIER WALLS, FOOTINGS AND POLYESTER CONCRETE OVERLAY. |
Location Description | SAN BERNARDINO COUNTY IN COLTON AT THE SANTA ANA RIVER BRIDGES |
QA Service Level | 1 (Verified on 03/18/2019) |
Sample Information
Sample Taken Date | 07/16/2020 | Sample Unique Key | 2 |
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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 | 07/21/2020 |
Sample type | Acceptance | A brief description of the sample | ASTM A722 All-Thread-Bar (150 ksi) |
The quantity of what the sample constitutes | 2 (2-1/2") dia threaded bars | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
Title of sampler | QA Inspector | Telephone number of sampler | 707-342-8602 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Williams Form Eng | 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 | Authorization Testing |
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Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 150 |
Threaded Bar Type | Rebar Size | ||
Nut Specification for Threaded Bar | NA | System Manufacturer | Williams Form Eng |
Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
Coating Standards | Uncoated | Bar Heat Number(s) | 100100435 |
Nut Heat Number(s) | NA | Bar Lot Number | NA |
Nut Lot Number | NA | Coupler Heat Number(s) | NA |
Coupler Grade | NA |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-07-16-2-1 ASTM A722-15 (Verified)
DIME Test ID: 2020-07-16-2-2 ASTM A722-15 (Verified)