Sample Record

Owner Labs

  • CT QASI - Bay Area Field Laboratory
  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2018-07-18-19

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 Date07/18/2018 Sample Unique Key19
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 testing07/20/2018
Sample typeAcceptance A brief description of the sampleA934 Purple Epoxy Coated Rebar
The quantity of what the sample constitutes4 coating dates 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 identification Linked DIME Sample ID2018-07-18-13
The fabricator/manufacturer/facility nameWilliams Form Eng Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB362-059-18 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingRetest
Threaded Bar SpecificationASTM A615 Threaded Bar Grade75
Threaded Bar TypeDeformed Rebar Size9
Nut Specification for Threaded BarNot applicable System ManufacturerWilliams Form Engineering
Epoxy Coating ColorPurple Threaded Bar ApplicationSoil Nail
Coating StandardsASTM A934 epoxy Bar Heat Number(s)100792512, 100891184
Nut Heat Number(s)Not applicable Bar Lot NumberSee emailed document
Nut Lot NumberNot applicable Coupler Heat Number(s)Not applicable
Coupler GradeNot applicable

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-07-18-19-1ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory07/25/2018Fred Saylor
Yes
08/02/2018
2018-07-18-19-2ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory07/25/2018Fred Saylor
Yes
08/02/2018
2018-07-18-19-3ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory07/25/2018Fred Saylor
Yes
08/02/2018
2018-07-18-19-4ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory07/25/2018Fred Saylor
Yes
08/02/2018