Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-08-06-3
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Project Information
| Project Identifiers | Project ID: 214685 DEA: 024E46U4 EFIS: 0216000122 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-36-6.0/14.6 |
| Award Date | 05/08/2020 |
| Closeout Date | 08/14/2023 |
| Work Description | REPLACE BRIDGE, ROADWAY EXCAVATION, HMA, CLASS 2 AB AND DRAINAGE WORK. |
| Location Description | LASSEN COUNTY NEAR WESTWOOD FROM 1.3 MILES WEST OF GOODRICH CREEK BRIDGE TO 1.0 MILE WEST OF WILLARD CREEK ROAD |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 08/06/2020 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 08/10/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Threaded Bar |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
| Title of sampler | QA Inspector | Telephone number of sampler | 213 435 4055 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dywidag Systems | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L140-201-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 150 |
| Threaded Bar Type | Rebar Size | ||
| Nut Specification for Threaded Bar | ASTM A897 | System Manufacturer | Gerdau |
| Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
| Coating Standards | Uncoated | Bar Heat Number(s) | 6215183806 |
| Nut Heat Number(s) | I099 | Bar Lot Number | |
| Nut Lot Number | Coupler Heat Number(s) | ||
| Coupler Grade |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-08-06-3-1 ASTM A722-15 (Verified)
DIME Test ID: 2020-08-06-3-2 ASTM A722-15 (Verified)