Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-08-28-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214511 DEA: 010E0004 EFIS: 0113000091 |
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DIST-CO-RTE-PM | 01-HUM-101-84.4/84.8 |
Award Date | 01/29/2020 |
Closeout Date | Not set |
Work Description | BRIDGE RAIL REPLACEMENT. |
Location Description | HUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE |
QA Service Level | 1 (Verified on 11/13/2019) |
Sample Information
Sample Taken Date | 08/28/2020 | Sample Unique Key | 2 |
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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 3/8" threaded rod with HHN |
The quantity of what the sample constitutes | 15 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 6466327821 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Williams Form Engineering-SD | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L134-182-20 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
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Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 18 |
Threaded Bar Type | Plain | Rebar Size | #11 |
Nut Specification for Threaded Bar | ASTM A 29 | System Manufacturer | Schwager Davis |
Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
Coating Standards | Uncoated | Bar Heat Number(s) | 62151303-04 |
Nut Heat Number(s) | 74116251 | Bar Lot Number | N/A |
Nut Lot Number | 36E3D | Coupler Heat Number(s) | N/A |
Coupler Grade | N/A |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-08-28-2-1 ASTM A722-15 (Verified)
DIME Test ID: 2020-08-28-2-2 ASTM A722-15 (Verified)