Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2021-08-12-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215109
DEA: 081C8504
EFIS: 0813000047
DIST-CO-RTE-PM08-RIV-74-0.0/5.8
Award DateNot set
Closeout DateNot set
Work DescriptionROADWAY EXCAVATION, HOT MIX ASPHALT, AND STRUCTURAL SHOTCRETE WALLS.
Location DescriptionRIVERSIDE COUNTY NEAR LAKE ELSINORE FROM ORANGE COUNTY LINE TO MONTE VISTA STREET
QA Service Level1 (Verified on 02/24/2021)

Sample Information

Sample Taken Date08/12/2021 Sample Unique Key3
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 testing08/19/2021
Sample typeQuality Assurance A brief description of the sampleASTM A722 HS All Thread Bar
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of samplerQA Inspector Telephone number of sampler7073428602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form Engineering Golden, CO Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL110-115-21 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 TypePlain Rebar Size#11
Nut Specification for Threaded BarNA System ManufacturerGerdau
Epoxy Coating ColorPurple Threaded Bar ApplicationThreaded Bar
Coating StandardsASTM A934 epoxy Bar Heat Number(s)58046951
Nut Heat Number(s)NA Bar Lot NumberNA
Nut Lot NumberNA Coupler Heat Number(s)NA
Coupler GradeNA

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-12-3-1ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory08/19/2021Fred Saylor
Yes
08/20/2021
2021-08-12-3-2ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory08/19/2021Fred Saylor
Yes
08/20/2021
2021-08-12-3-3ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory08/20/2021fsaylor
Yes
08/20/2021A722 Bar
2021-08-12-3-4ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory08/20/2021fsaylor
Yes
08/20/2021A722 Bar