Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-08-06-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214685
DEA: 024E46U4
EFIS: 0216000122
DIST-CO-RTE-PM02-LAS-36-6.0/14.6
Award Date05/08/2020
Closeout DateNot set
Work DescriptionREPLACE BRIDGE, ROADWAY EXCAVATION, HMA, CLASS 2 AB AND DRAINAGE WORK.
Location DescriptionLASSEN COUNTY NEAR WESTWOOD FROM 1.3 MILES WEST OF GOODRICH CREEK BRIDGE TO 1.0 MILE WEST OF WILLARD CREEK ROAD
QA Service Level1 (Verified on 03/02/2020)

Sample Information

Sample Taken Date08/06/2020 Sample Unique Key3
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 testing08/10/2020
Sample typeQuality Assurance A brief description of the sampleThreaded Bar
The quantity of what the sample constitutes2 From where was the sample collectedDistributor
First name of sampler or witnessed byBrian Last name of sampler or witnessed byMurray
Title of samplerQA Inspector Telephone number of sampler213 435 4055
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDywidag Systems Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL140-201-20 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 BarASTM A897 System ManufacturerGerdau
Epoxy Coating ColorNA Threaded Bar ApplicationSoil Nail
Coating StandardsUncoated Bar Heat Number(s)6215183806
Nut Heat Number(s)I099 Bar Lot Number
Nut Lot Number Coupler Heat Number(s)
Coupler Grade

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-08-06-3-1ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory08/11/2020bewing
Yes
08/11/2020A722 Threaded Bar and Nut
2020-08-06-3-2ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory08/11/2020bewing
Yes
08/11/2020A722 Threaded Bar and Nut