Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2020-08-05-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214216 DEA: 071XM404 EFIS: 0719000232 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-33-22.16, 22.16 |
| Award Date | 06/21/2019 |
| Closeout Date | 10/06/2022 |
| Work Description | This is the emergency project to repair pavement cracking, stabilize the eroded slope, construct a soldier pile tieback wall and reconstruct the steel post MGS |
| Location Description | Ventura County on Route 33 at PM.22.16. |
| QA Service Level | 1 (Verified on 08/27/2019) |
Sample Information
| Sample Taken Date | 08/05/2020 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 08/07/2020 |
| Sample type | Acceptance | A brief description of the sample | ASTM A722 All-Thread-Bar 150 KSI |
| The quantity of what the sample constitutes | 2 All Thread Bar | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
| Title of sampler | QA Inspector | Telephone number of sampler | 707-342-8602 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form Engineering | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L110-173-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 722 |
| Threaded Bar Type | Plain | Rebar Size | #8 |
| Nut Specification for Threaded Bar | NA | System Manufacturer | NA |
| Epoxy Coating Color | Green | Threaded Bar Application | Threaded Bar |
| Coating Standards | ASTM A775 epoxy | Bar Heat Number(s) | 62150104 |
| Nut Heat Number(s) | NA | Bar Lot Number | NA |
| Nut Lot Number | NA | Coupler Heat Number(s) | NA |
| Coupler Grade | NA |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-08-05-1-2 ASTM A722-15 (Verified)
DIME Test ID: 2020-08-05-1-3 ASTM A722-15 (Verified)
DIME Test ID: 2020-08-05-1-4 ASTM A775-07b-re14 (Verified)