Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-10-31-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-0.0/13.2 |
| Award Date | 06/06/2018 |
| Closeout Date | Not set |
| Work Description | Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes |
| Location Description | LA/SBD County Line to PM 13.2 near I-15 |
| QA Service Level | 1 (Verified on 10/16/2019) |
Sample Information
| Sample Taken Date | 10/31/2022 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 11/03/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 5/8" dia Thresded rod HDG |
| The quantity of what the sample constitutes | 42 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Adrian | Last name of sampler or witnessed by | Sanchez |
| Title of sampler | Telephone number of sampler | 2137133499 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CraneVeyor Corp | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L159-118-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A193 | Threaded Bar Grade | 105 |
| Threaded Bar Type | Rebar Size | ||
| Nut Specification for Threaded Bar | ASTM A563 | System Manufacturer | CraneVayer Corp |
| Epoxy Coating Color | NA | Threaded Bar Application | |
| Coating Standards | Uncoated | Bar Heat Number(s) | 10761910 |
| Nut Heat Number(s) | 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. | |||