Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-07-16-3

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 Date07/16/2020 Sample Unique Key3
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 testing07/21/2020
Sample typeAcceptance A brief description of the sampleASTM A722 All-Thread-Bar (150 ksi)
The quantity of what the sample constitutes2 (2-1/2) dia. threaded bars From where was the sample collectedFabricator
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of samplerQA Inspector Telephone number of sampler707-342-8602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form Eng 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 BarNA System ManufacturerWilliams Form Eng
Epoxy Coating ColorNA Threaded Bar ApplicationThreaded Bar
Coating StandardsUncoated Bar Heat Number(s)100895747
Nut Heat Number(s)NA Bar Lot NumberNA
Nut Lot NumberNA Coupler Heat Number(s)NA
Coupler GradeNA

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-07-16-3-1ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory07/24/2020fsaylor
Yes
07/27/2020A722 Bar
2020-07-16-3-3ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory07/24/2020fsaylor
Yes
07/27/2020A722 Bar