Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-11-24-5

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214586
DEA: 081H7704
EFIS: 0817000132
DIST-CO-RTE-PM08-SBD-215-4.5/5.8
Award Date06/10/2020
Closeout DateNot set
Work DescriptionINSTALL SIGN STRUCTURE, HMA, MODIFY RAMP METERING AND RETAINING WALL.
Location DescriptionSAN BENARDINO COUNTY IN SAN BERNARDINO FROM 0.5 MILE SOUTH OR ORANGE SHOW ROAD/AUTO PLAZA DRIVE OVERCROSSING TO 0.2 MILE NORTH OF INLAND CENTER DRIVE OVERCROSSING
QA Service Level1 (Verified on 04/16/2020)

Sample Information

Sample Taken Date11/24/2020 Sample Unique Key5
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 testing11/30/2020
Sample typeQuality Assurance A brief description of the sample#8 threaded bar
The quantity of what the sample constitutesN/A From where was the sample collectedFabricator
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 Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL134-279-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A615 Threaded Bar Grade75
Threaded Bar TypeDeformed Rebar Size#8
Nut Specification for Threaded BarASTM A108 System ManufacturerWilliams Form Engineering
Epoxy Coating ColorNA Threaded Bar ApplicationSoil Nail
Coating StandardsUncoated Bar Heat Number(s)100105605
Nut Heat Number(s) 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
2020-11-24-5-1ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory12/02/2020fsaylor
Yes
12/02/2020A615 Bar
2020-11-24-5-2ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory12/02/2020fsaylor
Yes
12/02/2020A615 Bar