Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2018-06-06-4
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 |
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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 | 06/06/2018 | Sample Unique Key | 4 |
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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 | 06/08/2018 |
Sample type | Quality Assurance | A brief description of the sample | No. 9 Grade 75 epoxy coated bars, and hex nuts |
The quantity of what the sample constitutes | 8 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Stacey | Last name of sampler or witnessed by | Davis |
Title of sampler | QAI | Telephone number of sampler | 5624806984 |
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 | B362-037-18 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
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Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
Threaded Bar Type | Deformed | Rebar Size | #9 |
Nut Specification for Threaded Bar | Gr 75 ATB | System Manufacturer | Williams Form |
Epoxy Coating Color | Purple | Threaded Bar Application | Soil Nail |
Coating Standards | ASTM A934 epoxy | Bar Heat Number(s) | 100888818 100789840 100891184 100792512 |
Nut Heat Number(s) | 8296508 | Bar Lot Number | Unknown |
Nut Lot Number | 9J1D | Coupler Heat Number(s) | Unknown |
Coupler Grade | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-06-06-4-1 ASTM A615-15 (Verified)
DIME Test ID: 2018-06-06-4-2 ASTM A615-15 (Verified)
DIME Test ID: 2018-06-06-4-3 ASTM A615-15 (Verified)
DIME Test ID: 2018-06-06-4-4 ASTM A615-15 (Verified)
DIME Test ID: 2018-06-06-4-5 ASTM A615-15 (Verified)
DIME Test ID: 2018-06-06-4-6 ASTM A615-15 (Verified)
DIME Test ID: 2018-06-06-4-7 ASTM A615-15 (Verified)
DIME Test ID: 2018-06-06-4-8 ASTM A615-15 (Verified)
DIME Test ID: 2018-06-06-4-9 ASTM A615-15 (Verified)
DIME Test ID: 2018-06-06-4-10 ASTM A615-15 (Verified)
DIME Test ID: 2018-06-06-4-11 ASTM A934-13 (Verified)
DIME Test ID: 2018-06-06-4-12 ASTM A934-13 (Verified)
DIME Test ID: 2018-06-06-4-13 ASTM A934-13 (Verified)
DIME Test ID: 2018-06-06-4-14 ASTM A934-13 (Verified)