Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-02-28-8
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Project Information
| Project Identifiers | Project ID: 212183 DEA: 112T1754 EFIS: 1112000004 Permit Numbers: 1116NMC0643 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-5-1580 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | 0.3 Mile north of La Jolla Village Dr. Overcrossing |
| Location Description | 0.3 Mile north of La Jolla Village Dr. Overcrossing |
| QA Service Level | 2 (Verified on 09/21/2017) |
Sample Information
| Sample Taken Date | 02/28/2017 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 03/03/2017 |
| Sample type | Quality Assurance | A brief description of the sample | A722 Threaded Bar |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | John | Last name of sampler or witnessed by | Nothdurft |
| 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 | C585241 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | 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 | 2.5" |
| Nut Specification for Threaded Bar | 150 ksi | System Manufacturer | Williams Form |
| Epoxy Coating Color | Purple | Threaded Bar Application | Threaded Bar |
| Coating Standards | ASTM A934 epoxy | Bar Heat Number(s) | NF14204692 NF14102183 |
| Nut Heat Number(s) | T-160101 | Bar Lot Number | Unknown |
| Nut Lot Number | Unknown | Coupler Heat Number(s) | J7740 |
| Coupler Grade | 150 ksi |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-02-28-8-1 ASTM A934-13 (Verified)