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 IdentifiersProject ID: 212896
DEA: 04160304
EFIS: 0400000429
DIST-CO-RTE-PM04-ALA-84-13.33
Award Date12/15/2020
Closeout DateNot set
Work DescriptionNILES CANYON ALAMEDA CREEK BRIDGE REPLACEMENT
Location DescriptionIN FREMONT, AT ALAMEDA CREEK BRIDGE (BR 33-0036).
QA Service Level1 (Verified on 09/16/2019)

Sample Information

Sample Taken Date03/25/2021 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 testing03/30/2021
Sample typeQuality Assurance A brief description of the sampleNo 10 A615 Gr 75 Epoxy Coated Threaded Bar
The quantity of what the sample constitutesHeat 100206742 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerASI Telephone number of sampler310-883-8369
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form Engineering San Diego Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL79-014-21 Structure unique identifier33-E0417
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#10
Nut Specification for Threaded BarASTM A108 System ManufacturerWIlliams Form ENgineering
Epoxy Coating ColorPurple Threaded Bar ApplicationSoil Nail
Coating StandardsASTM A934 epoxy Bar Heat Number(s)100206742, 100207534
Nut Heat Number(s)75079288, 72076075 Bar Lot NumberNA
Nut Lot Number10P7D, 10N3D Coupler Heat Number(s)NA
Coupler GradeNA

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-25-1-1ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory04/01/2021Fred Saylor
Yes
04/05/2021Heat #100207534
2021-03-25-1-2ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory04/02/2021Fred Saylor
Yes
04/05/2021Heat #100206742
2021-03-25-1-3ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory04/02/2021fsaylor
Yes
04/05/2021A615 Bar
2021-03-25-1-4ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory04/02/2021fsaylor
Yes
04/05/2021A615 Bar
2021-03-25-1-5ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory04/02/2021bewing
Yes
04/05/2021A615 Bar
2021-03-25-1-6ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory04/02/2021bewing
Yes
04/05/2021A615 Bar