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 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 Date06/06/2018 Sample Unique Key4
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 testing06/08/2018
Sample typeQuality Assurance A brief description of the sampleNo. 9 Grade 75 epoxy coated bars, and hex nuts
The quantity of what the sample constitutes8 From where was the sample collectedFabricator
First name of sampler or witnessed byStacey Last name of sampler or witnessed byDavis
Title of samplerQAI Telephone number of sampler5624806984
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) FormB362-037-18 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 Size#9
Nut Specification for Threaded BarGr 75 ATB System ManufacturerWilliams Form
Epoxy Coating ColorPurple Threaded Bar ApplicationSoil Nail
Coating StandardsASTM A934 epoxy Bar Heat Number(s)100888818 100789840 100891184 100792512
Nut Heat Number(s)8296508 Bar Lot NumberUnknown
Nut Lot Number9J1D Coupler Heat Number(s)Unknown
Coupler GradeUnknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-06-06-4-11ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory06/12/2018Fred Saylor
Yes
06/20/2018
2018-06-06-4-12ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory06/12/2018Fred Saylor
Yes
06/20/2018
2018-06-06-4-13ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory06/12/2018Fred Saylor
Yes
06/20/2018
2018-06-06-4-14ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory06/12/2018Fred Saylor
Yes
06/20/2018