Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-10-20-4
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Project Information
| Project Identifiers | Project ID: 211931 DEA: 043G6414 EFIS: 0416000348 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-29-37.0 |
| Award Date | 03/17/2017 |
| Closeout Date | 04/22/2020 |
| Work Description | SCOUR REPLACE BRIDGE |
| Location Description | NAPA COUNTY IN CALISTOGA AT NAPA RIVER BRIDGE |
| QA Service Level | 1 (Verified on 02/15/2017) |
Sample Information
| Sample Taken Date | 10/20/2017 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 10/20/2017 |
| Sample type | Quality Assurance | A brief description of the sample | A615 Grade 75 Threaded Bar |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Carolina | 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 Engineering | Transportation Laboratory (TL) Number | C647235 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L73-012-17 | 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 A615 | Threaded Bar Grade | 75 |
| Threaded Bar Type | Deformed | Rebar Size | 9 |
| Nut Specification for Threaded Bar | 8290539 | System Manufacturer | Williams Form Eng |
| Epoxy Coating Color | Purple | Threaded Bar Application | |
| Coating Standards | ASTM A934 epoxy | Bar Heat Number(s) | 100786966 |
| Nut Heat Number(s) | 8290539 | Bar Lot Number | Unknown |
| Nut Lot Number | 9H7D | Coupler Heat Number(s) | NF10100614C |
| Coupler Grade | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-10-20-4-2 ASTM A615-15 (Verified)
DIME Test ID: 2017-10-20-4-3 ASTM A615-15 (Verified)
DIME Test ID: 2017-10-20-4-4 ASTM A934-13 (Verified)