Sample Record
Owner Lab
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2018-08-08-6
Project Information
| Project Identifiers | Project ID: 212995 DEA: 01262044 EFIS: 0112000203 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-101-47.2/47.3 |
| Award Date | 03/29/2018 |
| Closeout Date | 10/05/2020 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/26/2019) |
Sample Information
| Sample Taken Date | 08/08/2018 | Sample Unique Key | 6 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | A615 Grade 75 Threaded Bar |
| The quantity of what the sample constitutes | 150 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Ed | Last name of sampler or witnessed by | Fleming |
| Title of sampler | TET | Telephone number of sampler | 707-310-2029 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form Eng | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B10-176-18 | 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 | |
| Nut Specification for Threaded Bar | ASTM A576 | System Manufacturer | Williams Form Eng |
| Epoxy Coating Color | Purple | Threaded Bar Application | Soil Nail |
| Coating Standards | ASTM A934 epoxy | Bar Heat Number(s) | 10892227 |
| Nut Heat Number(s) | 8296508 | Bar Lot Number | 10089222722 |
| Nut Lot Number | 9JD1 | Coupler Heat Number(s) | 75067849 A170281 |
| Coupler Grade | GR75 ATR |
Submitted Tests
| DIME Test ID | Test Method | Tester Name | Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||