Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2022-03-25-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215371 DEA: 042W1204 EFIS: 0421000139 |
|---|---|
| DIST-CO-RTE-PM | 04-CC,CC/MRN-580-6.9/7.8, 6.9, 7.8, 02, 5 |
| Award Date | 01/11/2020 |
| Closeout Date | 09/06/2022 |
| Work Description | REPLACEMENT OF GUSSET PLATES AT VARIOUS LOCATIONS |
| Location Description | Richmond San Rafael Bridge |
| QA Service Level | 1 (Verified on 12/14/2020) |
Sample Information
| Sample Taken Date | 03/25/2022 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 03/31/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1-1/8x71" A354 BD ATR HDG |
| The quantity of what the sample constitutes | 20 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Couch |
| Title of sampler | Telephone number of sampler | 5304170632 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Liberty Bolt (for LeJeune) | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | RSR Bridge |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A354 | Threaded Bar Grade | 414 |
| Threaded Bar Type | Plain | Rebar Size | |
| Nut Specification for Threaded Bar | na | System Manufacturer | na |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | 11722380 |
| Nut Heat Number(s) | Bar Lot Number | 2203252-2 | |
| 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. | |||