Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2019-06-21-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213747
DEA: 080Q9104
EFIS: 0800020580
DIST-CO-RTE-PM08-SBD-10-R23.8
Award DateNot set
Closeout DateNot set
Work DescriptionRETROFIT BRIDGE PIER WALLS, FOOTINGS AND POLYESTER CONCRETE OVERLAY.
Location DescriptionSAN BERNARDINO COUNTY IN COLTON AT THE SANTA ANA RIVER BRIDGES
QA Service Level1 (Verified on 03/18/2019)

Sample Information

Sample Taken Date06/21/2019 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 testing06/24/2019
Sample typeQuality Assurance A brief description of the sampleATB A722 plus couplers and hardware
The quantity of what the sample constitutes6 bars, 1 coupler, 6 hex nuts From where was the sample collectedFabricator
First name of sampler or witnessed byCarolina Last name of sampler or witnessed byBurgan
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form Engineering Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingAuthorization Testing
Threaded Bar SpecificationASTM A722 Threaded Bar Grade150
Threaded Bar Type Rebar Size
Nut Specification for Threaded BarUnknown System ManufacturerUnknown
Epoxy Coating ColorNA Threaded Bar Application
Coating StandardsUncoated Bar Heat Number(s)1000796073, 1000891061, 100891062
Nut Heat Number(s)75072337 (64D1D) Bar Lot NumberUnknown
Nut Lot NumberUnknown Coupler Heat Number(s)C158181 (64U8D)
Coupler GradeUnknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-06-21-1-1ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory07/02/2019bewing
Yes
07/03/2019#1 Bar Heat #100891061
2019-06-21-1-2ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory07/02/2019bewing
Yes
07/03/2019#1 Bar Heat# 100891062
2019-06-21-1-3ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory07/02/2019bewing
Yes
07/03/2019Bar 3 Heat # 100891062 with Coupler Bar Broke in Grip
2019-06-21-1-4ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory07/02/2019bewing
Yes
07/03/2019#1 Bar Heat #100796073
2019-06-21-1-5ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory07/02/2019bewing
Yes
07/03/2019Bar 2 Heat#100796073 Elongation
2019-06-21-1-6ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory07/02/2019bewing
Yes
07/03/2019Bar 2 Heat#100891061 Elongation
2019-06-21-1-7ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory07/02/2019bewing
Yes
07/03/2019Bar # 2 Heat# 100891062 Elongation
2019-06-21-1-8ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory07/03/2019bewing
Yes
07/03/2019Bar 3 Heat # 100891062 with Coupler Test Only