Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-01-25-5
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Project Information
| Project Identifiers | Project ID: 211768 DEA: 043K1104 EFIS: 0417000079 |
|---|---|
| DIST-CO-RTE-PM | 04-SF-80-8.3, 8.30 |
| Award Date | 10/10/2016 |
| Closeout Date | 10/17/2019 |
| Work Description | Replace SAS tower anchor rod grout |
| Location Description | Bay Bridge |
| QA Service Level | 1 (Verified on 01/09/2017) |
Sample Information
| Sample Taken Date | 01/25/2017 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 01/31/2017 |
| Sample type | Quality Assurance | A brief description of the sample | Williams Thread Bars |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Bahjat | Last name of sampler or witnessed by | Dagher |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Williams Form | Transportation Laboratory (TL) Number | C953154 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L9300217 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
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 | 2.25" |
| Nut Specification for Threaded Bar | A722 | System Manufacturer | Williams form |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | NF15204277 |
| Nut Heat Number(s) | MM12102758 | Bar Lot Number | Unknown |
| Nut Lot Number | Unknown | Coupler Heat Number(s) | MM16100365 |
| Coupler Grade | A722 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-01-25-5-1 ASTM A722-15 (Verified)
DIME Test ID: 2017-01-25-5-2 ASTM A722-15 (Verified)