Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2023-07-18-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215620 DEA: 01436404 EFIS: 0100000193 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-35.8/36.5 |
| Award Date | 07/11/2022 |
| Closeout Date | Not set |
| Work Description | Dr. Fine Bridge Replacement |
| Location Description | DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER. |
| QA Service Level | 1 (Verified on 03/26/2021) |
Sample Information
| Sample Taken Date | 07/18/2023 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 07/19/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 2 1/4" gr150 threaded bar |
| The quantity of what the sample constitutes | 8 each at 45' | From where was the sample collected | Source |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 510-376-7155 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Z systems | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B9-143-23 | Structure unique identifier | |
| Structure name | Fine Detour Bridge |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 150 |
| Threaded Bar Type | Plain | Rebar Size | #18 |
| Nut Specification for Threaded Bar | unknown | System Manufacturer | Dwyidag |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | 58051037 |
| Nut Heat Number(s) | 2209 | Bar Lot Number | 32797 |
| Nut Lot Number | b57e20851 | Coupler Heat Number(s) | |
| Coupler Grade |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-07-18-11-1 ASTM A722-18 (Verified)