Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-08-24-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214112
DEA: 120Q8104
EFIS: 1217000110
DIST-CO-RTE-PM12-ORA-241-23.1
Award Date06/11/2019
Closeout Date07/29/2021
Work DescriptionCONSTRUCT RETAINING WALL, CURB RAMPS AND SIDEWALKS.
Location DescriptionORANGE COUNTY IN LAKE FOREST ON ROUTE 241 AT ALTON PARKWAY
QA Service Level1 (Verified on 09/10/2019)

Sample Information

Sample Taken Date08/24/2020 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 testing08/31/2020
Sample typeQuality Assurance A brief description of the sample1" Threaded Bar
The quantity of what the sample constitutes50 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) FormL140-207-20 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 TypeDeformed Rebar Size#8
Nut Specification for Threaded BarA519 System ManufacturerDywidag Systems
Epoxy Coating ColorNA Threaded Bar ApplicationThreaded Bar
Coating StandardsUncoated Bar Heat Number(s)6215010903
Nut Heat Number(s)71079906 Bar Lot Number
Nut Lot Number Coupler Heat Number(s)73115929
Coupler Grade17

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-08-24-1-1ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory09/02/2020fsaylor
Yes
09/03/2020A722 Bar
2020-08-24-1-2ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory09/02/2020fsaylor
Yes
09/03/2020A722 Threaded Bar
2020-08-24-1-3ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory09/02/2020fsaylor
Yes
09/03/2020A722 Bar and Coupler
2020-08-24-1-4ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory09/02/2020fsaylor
Yes
09/03/2020A722 Bar & Nut