Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-03-25-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212896 DEA: 04160304 EFIS: 0400000429 |
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DIST-CO-RTE-PM | 04-ALA-84-13.1/13.5 |
Award Date | 12/15/2020 |
Closeout Date | Not set |
Work Description | NILES CANYON ALAMEDA CREEK BRIDGE REPLACEMENT |
Location Description | IN FREMONT, AT ALAMEDA CREEK BRIDGE (BR 33-0036). |
QA Service Level | 1 (Verified on 09/16/2019) |
Sample Information
Sample Taken Date | 03/25/2021 | Sample Unique Key | 1 |
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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 testing | 03/30/2021 |
Sample type | Quality Assurance | A brief description of the sample | No 10 A615 Gr 75 Epoxy Coated Threaded Bar |
The quantity of what the sample constitutes | Heat 100206742 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Weeks |
Title of sampler | ASI | Telephone number of sampler | 310-883-8369 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Williams Form Engineering San Diego | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L79-014-21 | Structure unique identifier | 33-E0417 |
Structure name |
Material Information
Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
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Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
Threaded Bar Type | Deformed | Rebar Size | #10 |
Nut Specification for Threaded Bar | ASTM A108 | System Manufacturer | WIlliams Form ENgineering |
Epoxy Coating Color | Purple | Threaded Bar Application | Soil Nail |
Coating Standards | ASTM A934 epoxy | Bar Heat Number(s) | 100206742, 100207534 |
Nut Heat Number(s) | 75079288, 72076075 | Bar Lot Number | NA |
Nut Lot Number | 10P7D, 10N3D | Coupler Heat Number(s) | NA |
Coupler Grade | NA |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-03-25-1-1 ASTM A934-13 (Verified)
DIME Test ID: 2021-03-25-1-2 ASTM A934-13 (Verified)
DIME Test ID: 2021-03-25-1-3 ASTM A615-15 (Verified)
DIME Test ID: 2021-03-25-1-4 ASTM A615-15 (Verified)
DIME Test ID: 2021-03-25-1-5 ASTM A615-15 (Verified)
DIME Test ID: 2021-03-25-1-6 ASTM A615-15 (Verified)