Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2018-03-19-14

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212795
DEA: 05937704
EFIS: 0514901244
Permit Numbers: 05176UB0132
DIST-CO-RTE-PM05-MON-68-4.04
Award Date09/06/2017
Closeout Date05/24/2019
Work DescriptionInstall a water pipeline bridge including a 36 inch diameter steel casing
Location DescriptionCounty of Monterey
QA Service Level1 (Verified on 09/25/2017)

Sample Information

Sample Taken Date03/19/2018 Sample Unique Key14
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 testing03/26/2018
Sample typeQuality Assurance A brief description of the sampleA722 HDG Threaded Bars
The quantity of what the sample constitutesTwo Threaded Rod Assemblies From where was the sample collectedFabricator
First name of sampler or witnessed byJames Last name of sampler or witnessed byDoe
Title of samplerQA Inspector Telephone number of sampler(503) 918-4918
Laboratory sample identificationUnknown Linked DIME Sample IDTL-101# 836243
The fabricator/manufacturer/facility nameCoastal Fabrication Transportation Laboratory (TL) NumberC836243
Inspector Lot Number from the Transportation Laboratory (TL) FormB358-024-18 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A722 Threaded Bar Grade150
Threaded Bar TypeDeformed Rebar Size1.25"
Nut Specification for Threaded BarUnknown System ManufacturerWilliams Form
Epoxy Coating ColorNA Threaded Bar ApplicationThreaded Bar
Coating StandardsUncoated Bar Heat Number(s)62143718
Nut Heat Number(s)8196752 Bar Lot NumberUnknown
Nut Lot Number32N9D Coupler Heat Number(s)Unknown
Coupler GradeUnknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-03-19-14-1ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)FredCT HQ - Sacramento Structural Materials Testing Laboratory03/28/2018Fred
Yes
04/04/2018Bar & Nut A722
2018-03-19-14-2ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)FredCT HQ - Sacramento Structural Materials Testing Laboratory03/28/2018Fred
Yes
04/04/2018Bar & Nut A722