Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-08-28-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214511
DEA: 010E0004
EFIS: 0113000091
DIST-CO-RTE-PM01-HUM-101-84.4/84.8
Award Date01/29/2020
Closeout DateNot set
Work DescriptionBRIDGE RAIL REPLACEMENT.
Location DescriptionHUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE
QA Service Level1 (Verified on 11/13/2019)

Sample Information

Sample Taken Date08/28/2020 Sample Unique Key2
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 3/8" threaded rod with HHN
The quantity of what the sample constitutes15 From where was the sample collectedManufacturer
First name of sampler or witnessed bySteve Last name of sampler or witnessed byHall
Title of samplerCT METS QA INSPECTOR Telephone number of sampler6466327821
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form Engineering-SD Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL134-182-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A722 Threaded Bar Grade18
Threaded Bar TypePlain Rebar Size#11
Nut Specification for Threaded BarASTM A 29 System ManufacturerSchwager Davis
Epoxy Coating ColorNA Threaded Bar ApplicationThreaded Bar
Coating StandardsUncoated Bar Heat Number(s)62151303-04
Nut Heat Number(s)74116251 Bar Lot NumberN/A
Nut Lot Number36E3D Coupler Heat Number(s)N/A
Coupler GradeN/A

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-08-28-2-1ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory09/02/2020bewing
Yes
09/02/2020A722 Threaded Bar and Nut
2020-08-28-2-2ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory09/02/2020bewing
Yes
09/02/2020A722 Threaded Bar and Nut