Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2020-07-20-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212324 DEA: 033F5104 EFIS: 0313000020 |
|---|---|
| DIST-CO-RTE-PM | 03-YUB-20-R18.1/R20.1 |
| Award Date | 10/31/2019 |
| Closeout Date | 08/03/2023 |
| Work Description | Construct bridge, realign curve & widen shoulders. |
| Location Description | Construction on state highway in Yuba County near Smartsville from the Yuba River Bridge to 0.3 mile east of Smartsville Road. |
| QA Service Level | 1 (Verified on 02/27/2020) |
Sample Information
| Sample Taken Date | 07/20/2020 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | Quality Assurance | A brief description of the sample | ASTM 1554 Gr. 105 S4 HDG Threaded Rod |
| The quantity of what the sample constitutes | 8 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Mahlon | Last name of sampler or witnessed by | Lindenmuth |
| Title of sampler | QA Inspector | Telephone number of sampler | 646-740-3704 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Gerlinger | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S46-998-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A193 | Threaded Bar Grade | 105 |
| Threaded Bar Type | Plain | Rebar Size | |
| Nut Specification for Threaded Bar | N/A | System Manufacturer | Vulcan |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | ASTM 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 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. | |||