Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2018-05-17-11

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212618
DEA: 044G0564
EFIS: 0417000154
DIST-CO-RTE-PM04-ALA-680-M2.4/M12.4
Award Date11/16/2017
Closeout DateNot set
Work DescriptionROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS
Location DescriptionFREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING
QA Service Level1 (Verified on 10/16/2017)

Sample Information

Sample Taken Date05/17/2018 Sample Unique Key11
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 testing05/21/2018
Sample typeQuality Assurance A brief description of the sample9 ASTM A615 Grade 75 ASTM A934 Purple Epoxy Coated Threaded WFE Bars w/ nutes
The quantity of what the sample constitutes2 From where was the sample collectedManufacturer
First name of sampler or witnessed byGreg Last name of sampler or witnessed byThompson
Title of samplerAssociate Steel Inspector Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameWilliams Form Engineering Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormB9-048-18 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A615 Threaded Bar Grade75
Threaded Bar TypeDeformed Rebar Size9
Nut Specification for Threaded BarNA System ManufacturerWilliams Form
Epoxy Coating ColorPurple Threaded Bar ApplicationSoil Nail
Coating StandardsASTM A934 epoxy Bar Heat Number(s)100789840, 100888818
Nut Heat Number(s)NA Bar Lot NumberNA
Nut Lot NumberNA Coupler Heat Number(s)NA
Coupler GradeNA

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-17-11-1ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory05/22/2018Fred Saylor
Yes
05/29/2018
2018-05-17-11-2ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory05/22/2018Fred Saylor
Yes
05/29/2018
2018-05-17-11-3ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)BrianCT HQ - Sacramento Structural Materials Testing Laboratory05/22/2018Brian
Yes
05/29/2018A615 Threaded Bar
2018-05-17-11-4ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)BrianCT HQ - Sacramento Structural Materials Testing Laboratory05/22/2018Brian
Yes
05/29/2018A615 Threaded Bar
2018-05-17-11-5ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)BrianCT HQ - Sacramento Structural Materials Testing Laboratory05/22/2018Brian
Yes
05/29/2018A615 Treaded Bar
2018-05-17-11-6ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)BrianCT HQ - Sacramento Structural Materials Testing Laboratory05/22/2018Brian
Yes
05/29/2018A615 Threaded Bar