Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2019-04-18-2
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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 | 12/08/2022 |
| 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 | 04/18/2019 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 05/22/2019 |
| Sample type | Quality Assurance | A brief description of the sample | treaded bar with nuts |
| The quantity of what the sample constitutes | 150 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Ed | Last name of sampler or witnessed by | Fleming |
| Title of sampler | 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 | 741315 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B10-128-19 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
| Threaded Bar Type | Plain | Rebar Size | 9 |
| Nut Specification for Threaded Bar | ASTM A29 | System Manufacturer | Williams Form Eng |
| Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
| Coating Standards | Uncoated | Bar Heat Number(s) | 100798249,100798250,100798251 |
| Nut Heat Number(s) | 8297854 | Bar Lot Number | 1 249,2 250,3 251 |
| Nut Lot Number | 9J7D | Coupler Heat Number(s) | Unknown |
| Coupler Grade | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-04-18-2-3 ASTM A615-15 (Verified)
DIME Test ID: 2019-04-18-2-4 ASTM A615-15 (Verified)
DIME Test ID: 2019-04-18-2-5 ASTM A615-15 (Verified)
DIME Test ID: 2019-04-18-2-6 ASTM A615-15 (Verified)
DIME Test ID: 2019-04-18-2-7 ASTM A615-15 (Verified)
DIME Test ID: 2019-04-18-2-8 ASTM A615-15 (Verified)