Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-05-02-65
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215620 DEA: 01436404 EFIS: 0100000193 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-35.8/36.5 |
| Award Date | 07/11/2022 |
| Closeout Date | Not set |
| Work Description | Dr. Fine Bridge Replacement |
| Location Description | DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER. |
| QA Service Level | 1 (Verified on 03/26/2021) |
Sample Information
| Sample Taken Date | 05/02/2025 | Sample Unique Key | 65 |
|---|---|---|---|
| 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 | 05/14/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 3" A722 Threaded Bar |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | NA | Last name of sampler or witnessed by | NA |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form Eng | 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 | Production Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 150 |
| Threaded Bar Type | Rebar Size | ||
| Nut Specification for Threaded Bar | A29 | System Manufacturer | Williams Form |
| Epoxy Coating Color | NA | Threaded Bar Application | |
| Coating Standards | Uncoated | Bar Heat Number(s) | 1000226351 |
| Nut Heat Number(s) | X9953 | Bar Lot Number | |
| Nut Lot Number | 75Y2D | 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: 2025-05-02-65-1 ASTM A722-18 (Verified)