Sample Record

DIME Sample ID 2018-08-08-5

Project Information

Project IdentifiersProject ID: 212618
DEA: 044G0564
EFIS: 0417000154
DIST-CO-RTE-PM04-ALA-680-M2.4/M12.4
Award Date11/16/2017
Closeout Date12/08/2022
Work DescriptionROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS
Location DescriptionFREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING
QA Service Level1 (Verified on 10/16/2017)

Owner Lab

  • CT - Unassigned/General Field Laboratory

Sample Information

Sample Taken Date08/08/2018 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sampleA615 Grade 75 Threaded Bar The quantity of what the sample constitutesgood
From where was the sample collectedManufacturer First name of sampler or witnessed byEd
Last name of sampler or witnessed byFleming Title of samplerTET
Telephone number of sampler707-310-2019 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameWilliams Form Eng
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB10-177-18
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingRetest
Threaded Bar SpecificationASTM A615 Threaded Bar Grade75
Threaded Bar TypeDeformed Rebar Size
Nut Specification for Threaded BarEpoxy test only Retest System ManufacturerWilliams Form Eng
Epoxy Coating ColorPurple Threaded Bar ApplicationSoil Nail
Coating StandardsASTM A934 epoxy Bar Heat Number(s)100888818
Nut Heat Number(s) Bar Lot Number1088881821
Nut Lot Number Coupler Heat Number(s)
Coupler Grade

Submitted Tests

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