Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-05-13-3
Project Information
Project Identifiers | Project ID: 993333 DEA: 04264724 EFIS: 0419000068 |
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DIST-CO-RTE-PM | 04-MRN-101-R20.8/27.1 |
Award Date | 04/26/2022 |
Closeout Date | Not set |
Work Description | CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL. |
Location Description | MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE |
QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
Sample Taken Date | 05/13/2024 | Sample Unique Key | 3 |
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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 | ASTM A108 Grade 80 Nuts |
The quantity of what the sample constitutes | 1000 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
Title of sampler | Associate Steel Inspector | Telephone number of sampler | 707-342-8602 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Nucor Skyline | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L110-069-24 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
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Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 80 |
Threaded Bar Type | Deformed | Rebar Size | #8 |
Nut Specification for Threaded Bar | ASTM A108 | System Manufacturer | Nucor Skyline |
Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
Coating Standards | Uncoated | Bar Heat Number(s) | NA |
Nut Heat Number(s) | 5395822 | Bar Lot Number | NA |
Nut Lot Number | 6402 | Coupler Heat Number(s) | NA |
Coupler Grade | NA |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |