Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-08-07-1
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214176 DEA: 033F0904 EFIS: 0312000056 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC,SJ-5,160-Var |
| Award Date | 10/10/2019 |
| Closeout Date | 10/27/2022 |
| Work Description | REPLACE STRUCTURAL CONCRETE BRIDGES, PLACE CIDH & CISS CONCRETE PILES. |
| Location Description | SACRAMENTO COUNTY AT NORTH SACRAMENTO UNDERCROSSING AND SACRAMENTO RIVER BRIDGE AND IN SAN JOAQUIN COUNTY AT MOKELUMNE RIVER BRIDGE |
| QA Service Level | 1 (Verified on 05/29/2019) |
Sample Information
| Sample Taken Date | 08/07/2020 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 08/13/2020 |
| 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 | L140-202-20 | 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 | Deformed | Rebar Size | #11 |
| Nut Specification for Threaded Bar | ASTM A519 | System Manufacturer | Dywidag Systems |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | 62152142/03 |
| Nut Heat Number(s) | A191892 | 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: 2020-08-07-1-1 ASTM A722-15 (Verified)
DIME Test ID: 2020-08-07-1-2 ASTM A722-15 (Verified)