Sample Record

Owner Labs

  • CT QASI - Los Angeles Field Laboratory
  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2019-03-25-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213126
DEA: 051J6604
EFIS: 0518000009
DIST-CO-RTE-PM05-SB-192-8.0/12.5
Award Date01/09/2018
Closeout Date10/29/2020
Work DescriptionReplace bridges (3) and bridge rails (2)
Location DescriptionIn Santa Barbara County in and near Santa Barbara, Montecito, and Carpinteria.
QA Service Level1 (Verified on 05/14/2018)

Sample Information

Sample Taken Date03/25/2019 Sample Unique Key1
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 testing03/25/2019
Sample typeQuality Assurance A brief description of the sampleThreaded Bar
The quantity of what the sample constitutes30 all thread bars 50' long From where was the sample collectedManufacturer
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerQA Telephone number of sampler310-883-8369
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form San Diego Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL79-124-19 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 Grade150
Threaded Bar TypeDeformed Rebar Size11
Nut Specification for Threaded BarA29 Grade 1045 System ManufacturerWilliams Form Engineering
Epoxy Coating ColorNA Threaded Bar ApplicationThreaded Bar
Coating StandardsUncoated Bar Heat Number(s)10884671
Nut Heat Number(s)75071080 Bar Lot NumberNA
Nut Lot Number36A9D Coupler Heat Number(s)NA
Coupler GradeNA

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-03-25-1-1ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory04/12/2019Fred Saylor
Yes
04/19/2019