DIME - Sample Record for DIME Sample ID 2018-06-06-4

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Sample Record

Owner Lab

CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2018-06-06-4

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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	Not set
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
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
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

DIME Test ID	Test Method	Tester Name	Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2018-06-06-4-1	ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)	Fred	CT HQ - Sacramento Structural Materials Testing Laboratory	06/12/2018	Fred	Yes	06/20/2018	A615 Bar & Nut
2018-06-06-4-2	ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)	Fred	CT HQ - Sacramento Structural Materials Testing Laboratory	06/12/2018	Fred	Yes	06/20/2018	A615 Bar & Nut Strip off
2018-06-06-4-3	ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)	Fred	CT HQ - Sacramento Structural Materials Testing Laboratory	06/12/2018	Fred	Yes	06/20/2018	A615 Bar
2018-06-06-4-4	ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)	Fred	CT HQ - Sacramento Structural Materials Testing Laboratory	06/12/2018	Fred	Yes	06/20/2018	A615 Bar
2018-06-06-4-5	ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)	Fred	CT HQ - Sacramento Structural Materials Testing Laboratory	06/12/2018	Fred	Yes	06/20/2018	A615 Bar
2018-06-06-4-6	ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)	Fred	CT HQ - Sacramento Structural Materials Testing Laboratory	06/12/2018	Fred	Yes	06/20/2018	A615 Bar
2018-06-06-4-7	ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)	Fred	CT HQ - Sacramento Structural Materials Testing Laboratory	06/12/2018	Fred	Yes	06/20/2018	A615 Bar
2018-06-06-4-8	ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)	Fred	CT HQ - Sacramento Structural Materials Testing Laboratory	06/12/2018	Fred	Yes	06/20/2018	A615 Bar
2018-06-06-4-9	ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)	Fred	CT HQ - Sacramento Structural Materials Testing Laboratory	06/12/2018	Fred	Yes	06/20/2018	A615 Bar
2018-06-06-4-10	ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)	Fred	CT HQ - Sacramento Structural Materials Testing Laboratory	06/12/2018	Fred	Yes	06/20/2018	A615 Bar