Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-11-08-4
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Project Information
| Project Identifiers | Project ID: 211573 DEA: 050Q6004 EFIS: 0500020290 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-17-1.0/1.4 |
| Award Date | 09/30/2016 |
| Closeout Date | 06/04/2019 |
| Work Description | ACACIA ERADICATION AND SLOPE STABILIZATION WITH ROADWAY WORK. |
| Location Description | SANTA CRUZ COUNTY NEAR SANTA CRUZ FROM 0.2 MILE NORTH OF PASATIEMPO OVERCROSSING TO BEULAH PARK UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/14/2016) |
Sample Information
| Sample Taken Date | 11/08/2017 | 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 | 11/13/2017 |
| Sample type | Quality Assurance | A brief description of the sample | A615 Grade 75 HDG Threaded Bar |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Source |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Flygare |
| 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 | C719148 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B76-186-17 | 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 A615 | Threaded Bar Grade | 75 |
| Threaded Bar Type | Deformed | Rebar Size | #6 |
| Nut Specification for Threaded Bar | A108 | System Manufacturer | Williams Form |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | NF15102802 |
| Nut Heat Number(s) | 499580 | Bar Lot Number | NF1510280251 |
| Nut Lot Number | 6K5D | 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: 2017-11-08-4-1 ASTM A615-15 (Verified)
DIME Test ID: 2017-11-08-4-2 ASTM A615-15 (Verified)