Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2022-01-13-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215109
DEA: 081C8504
EFIS: 0813000047
DIST-CO-RTE-PM08-RIV-74-0.0/5.8
Award DateNot set
Closeout DateNot set
Work DescriptionROADWAY EXCAVATION, HOT MIX ASPHALT, AND STRUCTURAL SHOTCRETE WALLS.
Location DescriptionRIVERSIDE COUNTY NEAR LAKE ELSINORE FROM ORANGE COUNTY LINE TO MONTE VISTA STREET
QA Service Level1 (Verified on 02/24/2021)

Sample Information

Sample Taken Date01/13/2022 Sample Unique Key1
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 testing01/25/2022
Sample typeQuality Assurance A brief description of the sampleASTM A722 All-Thread-Bar (150 ksi)
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 sampler Telephone number of sampler7073428602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form Engineering Golden, CO Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL110-006-22 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingAuthorization Testing
Threaded Bar SpecificationASTM A722 Threaded Bar Grade722
Threaded Bar TypePlain Rebar Size#11
Nut Specification for Threaded BarASTM E112 Grade 1045 System ManufacturerGerdau
Epoxy Coating ColorPurple Threaded Bar ApplicationThreaded Bar
Coating StandardsASTM A934 epoxy Bar Heat Number(s)5804893203
Nut Heat Number(s)75084199 Bar Lot NumberNA
Nut Lot Number36E9D Coupler Heat Number(s)NA
Coupler GradeNA

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-01-13-1-1ASTM A722-18: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory02/04/2022bewing
Yes
02/04/2022A722 Bar and Nut
2022-01-13-1-2ASTM A722-18: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory02/04/2022bewing
Yes
02/04/2022A722 Bar and Nut