Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-01-17-3
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 994673 DEA: 033F0704 EFIS: 0312000054 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-51-2.0/3.5 |
| Award Date | 08/17/2023 |
| Closeout Date | Not set |
| Work Description | American River Bridge Rehabilitation |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 05/15/2023) |
Sample Information
| Sample Taken Date | 01/17/2025 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 01/28/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 1-3/8" 150 KSI All thread bar and hardware |
| The quantity of what the sample constitutes | 1-50 | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Joaquin | Last name of sampler or witnessed by | Moreno |
| Title of sampler | Telephone number of sampler | 7146990897 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form Engineering-SD | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A772 | Threaded Bar Grade | 722 |
| Threaded Bar Type | Plain | Rebar Size | |
| Nut Specification for Threaded Bar | ASTM A29 | System Manufacturer | Willaims Form Engineering SD |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | 58052325 |
| Nut Heat Number(s) | 79002105 | Bar Lot Number | 58052325 |
| Nut Lot Number | 79002105 | Coupler Heat Number(s) | |
| Coupler Grade |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2025-01-17-3-1 | ASTM A722-18: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile) | Alexis Vargas-Bastida, CT HQ - Sacramento Structural Materials Testing Laboratory | 01/29/2025 | 03/07/2025 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-01-17-3-1 ASTM A722-18