Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-01-17-6
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Project Information
| Project Identifiers | Project ID: 994327 DEA: 081G4704 EFIS: 0816000001 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-74-3.1/53.5 |
| Award Date | 01/02/2023 |
| Closeout Date | Not set |
| Work Description | STRUCTURAL CONC BR, CONC SLAB, HMA (TYPE A), ALT CRASH CUSHION SYSTEM. |
| Location Description | RIVERSIDE COUNTY NEAR LAKE ELSINORE AT MORRILL CANYON BRIDGE AND NEAR HEMET AT STRAWBERRY CREEK BRIDGE. |
| QA Service Level | 1 (Verified on 06/08/2023) |
Sample Information
| Sample Taken Date | 01/17/2024 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 01/18/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1 3/8" diam.thread bar |
| The quantity of what the sample constitutes | 8 PCS 60'-0" long | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | RAMIREZ |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | (916)767-3535 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dywidag Systems International | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-003-24 | Structure unique identifier | |
| Structure name |
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 | Deformed | Rebar Size | |
| Nut Specification for Threaded Bar | ASTM A29 | System Manufacturer | ASI |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | 58056104/05 |
| Nut Heat Number(s) | 177424 | Bar Lot Number | 05 |
| Nut Lot Number | B36E24251 | 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: 2024-01-17-6-1 ASTM A722-18 (Verified)
DIME Test ID: 2024-01-17-6-2 ASTM A722-18 (Verified)