Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2017-02-28-8

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212183
DEA: 112T1754
EFIS: 1112000004
Permit Numbers: 1116NMC0643
Award DateNot set
Closeout DateNot set
Work Description0.3 Mile north of La Jolla Village Dr. Overcrossing
Location Description0.3 Mile north of La Jolla Village Dr. Overcrossing
QA Service Level2 (Verified on 09/21/2017)

Sample Information

Sample Taken Date02/28/2017 Sample Unique Key8
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 testing03/03/2017
Sample typeQuality Assurance A brief description of the sampleA722 Threaded Bar
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed byJohn Last name of sampler or witnessed byNothdurft
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameWilliams Form Transportation Laboratory (TL) NumberC585241
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A722 Threaded Bar Grade150
Threaded Bar TypeDeformed Rebar Size2.5"
Nut Specification for Threaded Bar150 ksi System ManufacturerWilliams Form
Epoxy Coating ColorPurple Threaded Bar ApplicationThreaded Bar
Coating StandardsASTM A934 epoxy Bar Heat Number(s)NF14204692 NF14102183
Nut Heat Number(s)T-160101 Bar Lot NumberUnknown
Nut Lot NumberUnknown Coupler Heat Number(s)J7740
Coupler Grade150 ksi

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-02-28-8-1ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Glen WeldonCT HQ - Sacramento Structural Materials Testing Laboratory03/10/2017Glen Weldon