Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-08-18-3
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Project Information
| Project Identifiers | Project ID: 211690 DEA: 042A3204 EFIS: 0400000817 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-121-9.2/9.4 |
| Award Date | 12/01/2016 |
| Closeout Date | 01/23/2019 |
| Work Description | ROADWAY WIDENING, BRIDGE REPLACEMENT, CREEK GRADING |
| Location Description | NAPA COUNTY IN NAPA AT SILVERADO TRAIL ROAD |
| QA Service Level | 1 (Verified on 01/03/2017) |
Sample Information
| Sample Taken Date | 08/18/2017 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 08/25/2017 |
| Sample type | Quality Assurance | A brief description of the sample | ASTM A722 |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Margarito | Last name of sampler or witnessed by | Margarito |
| 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 Eng | Transportation Laboratory (TL) Number | C647234 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L7300917 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 150 |
| Threaded Bar Type | Deformed | Rebar Size | 1 |
| Nut Specification for Threaded Bar | ASTM A29 | System Manufacturer | Williams Form Eng |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | 62142446 |
| Nut Heat Number(s) | NF15203286 | Bar Lot Number | Unknown |
| Nut Lot Number | 26F1D | Coupler Heat Number(s) | Unknown |
| Coupler Grade | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-08-18-3-3 ASTM A722-15 (Verified)
DIME Test ID: 2017-08-18-3-4 ASTM A722-15 (Verified)