DIME » All Projects » Project - DEA: 041A6614 » Sample 2021-09-13-2 » Sample Details

Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2021-09-13-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213099
DEA: 041A6614
EFIS: 0415000291
COOP: 042683A1
DIST-CO-RTE-PM04-MRN-101-8.4
Award Date11/30/2020
Closeout Date12/12/2023
Work DescriptionCONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location DescriptionNot set
QA Service Level1 (Verified on 11/06/2020)

Sample Information

Sample Taken Date09/13/2021 Sample Unique Key2
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 testing10/01/2021
Sample typeVerification A brief description of the sampleASTM A108 150 KSI Hex Nuts
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of samplerQA Inspector Telephone number of sampler7073428602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form Engineering-SD Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL110-134-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingAuthorization Testing
Threaded Bar SpecificationASTM A722 Threaded Bar Grade150
Threaded Bar Type Rebar Size
Nut Specification for Threaded BarASTM A108 System ManufacturerWilliams Form Engineering San Diego
Epoxy Coating ColorNA Threaded Bar Application
Coating StandardsASTM A123 galvanized Bar Heat Number(s)
Nut Heat Number(s)8298464 Bar Lot Number
Nut Lot Number26E5D Coupler Heat Number(s)
Coupler Grade

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-13-2-1ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory10/05/2021fsaylor
Yes
10/05/2021Nut Test only
2021-09-13-2-2ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory10/05/2021fsaylor
Yes
10/05/2021Nut Test only

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-09-13-2-1 ASTM A722-15 (Verified)
DIME Test ID: 2021-09-13-2-2 ASTM A722-15 (Verified)