Sample Record

Owner Labs

  • CT QASI - Los Angeles Field Laboratory
  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2020-08-16-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date08/16/2020 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 testing08/20/2020
Sample typeVerification A brief description of the sample#7 A615 all-thread rebar w/ thru coupler
The quantity of what the sample constitutes71 bar and 220 couplers From where was the sample collectedManufacturer
First name of sampler or witnessed byKen Last name of sampler or witnessed byVarela
Title of samplerAssoicate Steel Inspector Telephone number of sampler(562) 440-7716
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliam Form Engineering Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL08-078-20 Structure unique identifier30-Orange
Structure nameunknown

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A615 Threaded Bar Grade75
Threaded Bar TypeDeformed Rebar Size#7
Nut Specification for Threaded BarN/A System ManufacturerWilliams Form Eng
Epoxy Coating ColorPurple Threaded Bar ApplicationThreaded Bar
Coating StandardsASTM A934 epoxy Bar Heat Number(s)100896835
Nut Heat Number(s)N/A Bar Lot Number10089683520
Nut Lot NumberN/A Coupler Heat Number(s)201154
Coupler Grade75

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-08-16-1-1ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory08/25/2020fsaylor
Yes
08/25/2020A615 Bar
2020-08-16-1-2ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory08/25/2020fsaylor
Yes
08/25/2020A615 Bar With Coupler
2020-08-16-1-3ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory08/25/2020Fred Saylor
Yes
08/25/2020