Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2022-04-15-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993124 DEA: 101F1704 EFIS: 1016000032 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-26,99-1.1,19.3 |
| Award Date | 09/07/2021 |
| Closeout Date | 08/30/2023 |
| Work Description | REMOVE AND REPLACE BRIDGE. |
| Location Description | SAN JOAQUIN COUNTY NEAR STOCKTON AT ROUTE 26/99 SEPARATION |
| QA Service Level | 1 (Verified on 07/23/2021) |
Sample Information
| Sample Taken Date | 04/15/2022 | Sample Unique Key | 2 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | Anchor Bolt Assembly |
| The quantity of what the sample constitutes | 109 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Oscar | Last name of sampler or witnessed by | Vizcaino |
| Title of sampler | Telephone number of sampler | 6787558969 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Stinger Bridge Iron | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A529 | Threaded Bar Grade | 55 |
| Threaded Bar Type | Plain | Rebar Size | |
| Nut Specification for Threaded Bar | ASTM A29 | System Manufacturer | A563 |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | ASTM A153 galvanized | Bar Heat Number(s) | 3110391 |
| Nut Heat Number(s) | 5804527106 | Bar Lot Number | |
| 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. | |||