Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-05-05-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211854 DEA: 043G0804 EFIS: 0400021272 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-1-30.5 |
| Award Date | 01/20/2017 |
| Closeout Date | 02/27/2019 |
| Work Description | CONSTRUCT ROADWAY AND SOIL NAIL WALLS |
| Location Description | SONOMA COUNTY NEAR FORT ROSS AT 2.6 MILES SOUTH OF FORT ROSS ROAD |
| QA Service Level | 1 (Verified on 03/13/2017) |
Sample Information
| Sample Taken Date | 05/05/2017 | Sample Unique Key | 2 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 05/09/2017 |
| Sample type | Retest | A brief description of the sample | No. 7 Gr. 75 threaded bar |
| The quantity of what the sample constitutes | Unknown | 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 | Associate Steel Inspector | Telephone number of sampler | 213-620-2341 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L08-039-17 | 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 A722 | Threaded Bar Grade | 75 |
| Threaded Bar Type | Deformed | Rebar Size | #7 |
| Nut Specification for Threaded Bar | A108 | System Manufacturer | Williams Form |
| Epoxy Coating Color | Purple | Threaded Bar Application | Soil Nail |
| Coating Standards | ASTM A934 epoxy | Bar Heat Number(s) | NF16100114 |
| Nut Heat Number(s) | NF16202733 | Bar Lot Number | NF1610011452 |
| Nut Lot Number | 7H7D | Coupler Heat Number(s) | N/A |
| Coupler Grade | N/A |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-05-05-2-1 ASTM A884-14 (Verified)