Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2018-04-24-2
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Project Information
| Project Identifiers | Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-680-M2.4/M12.4 |
| Award Date | 11/16/2017 |
| Closeout Date | 12/08/2022 |
| Work Description | ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS |
| Location Description | FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/16/2017) |
Sample Information
| Sample Taken Date | 04/24/2018 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 04/27/2018 |
| Sample type | Retest | A brief description of the sample | No.9 A615 Gr. 75 Epoxy Coated Bar |
| The quantity of what the sample constitutes | 1 Set | From where was the sample collected | Source |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Weeks |
| Title of sampler | QA Inspector | Telephone number of sampler | 9512588382 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Williams Form Engineering | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L79-027-18 | 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 | 9 |
| Nut Specification for Threaded Bar | NA | System Manufacturer | WFE |
| Epoxy Coating Color | Purple | Threaded Bar Application | Soil Nail |
| Coating Standards | ASTM A934 epoxy | Bar Heat Number(s) | DL16105179 |
| Nut Heat Number(s) | Unknown | Bar Lot Number | Unknown |
| Nut Lot Number | Unknown | 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: 2018-04-24-2-1 ASTM A934-13 (Verified)