Sample Record

Owner Lab

  • CT QASI - Sacramento Field Laboratory

DIME Sample ID 2020-07-20-1

Project Information

Project IdentifiersProject ID: 212324
DEA: 033F5104
EFIS: 0313000020
DIST-CO-RTE-PM03-YUB-20-R18.1/R20.1
Award Date10/31/2019
Closeout DateNot set
Work DescriptionConstruct bridge, realign curve & widen shoulders.
Location DescriptionConstruction on state highway in Yuba County near Smartsville from the Yuba River Bridge to 0.3 mile east of Smartsville Road.
QA Service Level1 (Verified on 02/27/2020)

Sample Information

Sample Taken Date07/20/2020 Sample Unique Key1
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 typeQuality Assurance A brief description of the sampleASTM 1554 Gr. 105 S4 HDG Threaded Rod
The quantity of what the sample constitutes8 From where was the sample collectedFabricator
First name of sampler or witnessed byMahlon Last name of sampler or witnessed byLindenmuth
Title of samplerQA Inspector Telephone number of sampler646-740-3704
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGerlinger Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS46-998-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingAuthorization Testing
Threaded Bar SpecificationASTM A193 Threaded Bar Grade105
Threaded Bar TypePlain Rebar Size
Nut Specification for Threaded BarN/A System ManufacturerVulcan
Epoxy Coating ColorNA Threaded Bar ApplicationThreaded Bar
Coating StandardsASTM A153 galvanized Bar Heat Number(s)10606860
Nut Heat Number(s) Bar Lot Number
Nut Lot Number Coupler Heat Number(s)
Coupler Grade

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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