Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-08-24-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214112 DEA: 120Q8104 EFIS: 1217000110 |
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DIST-CO-RTE-PM | 12-ORA-241-23.1 |
Award Date | 06/11/2019 |
Closeout Date | 07/29/2021 |
Work Description | CONSTRUCT RETAINING WALL, CURB RAMPS AND SIDEWALKS. |
Location Description | ORANGE COUNTY IN LAKE FOREST ON ROUTE 241 AT ALTON PARKWAY |
QA Service Level | 1 (Verified on 09/10/2019) |
Sample Information
Sample Taken Date | 08/24/2020 | Sample Unique Key | 1 |
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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 | 08/31/2020 |
Sample type | Quality Assurance | A brief description of the sample | 1" Threaded Bar |
The quantity of what the sample constitutes | 50 | 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 | L140-207-20 | 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 | Deformed | Rebar Size | #8 |
Nut Specification for Threaded Bar | A519 | System Manufacturer | Dywidag Systems |
Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
Coating Standards | Uncoated | Bar Heat Number(s) | 6215010903 |
Nut Heat Number(s) | 71079906 | Bar Lot Number | |
Nut Lot Number | Coupler Heat Number(s) | 73115929 | |
Coupler Grade | 17 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-08-24-1-1 ASTM A722-15 (Verified)
DIME Test ID: 2020-08-24-1-2 ASTM A722-15 (Verified)
DIME Test ID: 2020-08-24-1-3 ASTM A722-15 (Verified)
DIME Test ID: 2020-08-24-1-4 ASTM A722-15 (Verified)