Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-09-29-1

Project Information

Project IdentifiersProject ID: 88888
DEA: SMTL-STOCK
EFIS: SMTL-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date09/29/2023 Sample Unique Key1
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 testingNot set
Sample typeQuality Assurance A brief description of the sample1"-8 x 40" Gr.105
The quantity of what the sample constitutes1200 pc From where was the sample collectedDistributor
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQuality Assurance Inspector Telephone number of sampler17029172503
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Circle Corp Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-094-22 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A193 Threaded Bar Grade193
Threaded Bar Type Rebar Size
Nut Specification for Threaded BarASTM A563 System ManufacturerGerdua
Epoxy Coating ColorNA Threaded Bar ApplicationThreaded Bar
Coating StandardsASTM A153 galvanized Bar Heat Number(s)223766
Nut Heat Number(s)58055206 Bar Lot Number
Nut Lot Number38353-58055206 Coupler Heat Number(s)
Coupler Grade

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

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Test File Attachments