Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-04-21-8
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Project Information
| Project Identifiers | Project ID: 211588 DEA: 030F3104 EFIS: 0300000078 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-49-23.6/24.5 |
| Award Date | 12/12/2016 |
| Closeout Date | 01/08/2019 |
| Work Description | REPLACE BRIDGE. |
| Location Description | EL DORADO COUNTY NEAR COLOMA FROM 0.1 MILE EAST OF MARSHALL ROAD TO 0.3 MILE EAST OF LOTUS ROAD |
| QA Service Level | 1 (Verified on 10/19/2016) |
Sample Information
| Sample Taken Date | 04/21/2017 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 testing | 04/26/2017 |
| Sample type | Quality Assurance | A brief description of the sample | Williams Thread Bars |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Ken | Last name of sampler or witnessed by | Varela |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Williams Form | Transportation Laboratory (TL) Number | C939317 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L0803817 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
| Threaded Bar Type | Deformed | Rebar Size | #9 |
| Nut Specification for Threaded Bar | Grade 75 ATB | System Manufacturer | Williams Form |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | PL16207196 |
| Nut Heat Number(s) | NF15203512 | Bar Lot Number | NA |
| Nut Lot Number | 9H5D | Coupler Heat Number(s) | NA |
| Coupler Grade | NA |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-04-21-8-1 ASTM A615-15 (Verified)
DIME Test ID: 2017-04-21-8-2 ASTM A615-15 (Verified)