Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2021-09-13-1

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 Date09/13/2021 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 testing09/20/2021
Sample typeVerification A brief description of the sample#8 Grade 75 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 sampler707-342-8602
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) FormL110-133-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingAuthorization Testing
Threaded Bar SpecificationASTM A615 Threaded Bar Grade75
Threaded Bar TypePlain Rebar Size#8
Nut Specification for Threaded BarASTM A108 System ManufacturerWilliams Form Engineering San Diego
Epoxy Coating ColorNA Threaded Bar ApplicationThreaded Bar
Coating StandardsASTM A123 galvanized Bar Heat Number(s)100108552
Nut Heat Number(s)8391581 Bar Lot Number10010855221
Nut Lot Number8U3D Coupler Heat Number(s)A186720
Coupler Grade1215

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-13-1-1ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory09/27/2021fsaylor
Yes
09/27/2021Nut Stripped Coupler #8U3D
2021-09-13-1-2ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory09/27/2021fsaylor
Yes
09/27/2021Grip pull Coupler Broke in Half
2021-09-13-1-3ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory09/27/2021fsaylor
Yes
09/27/2021Girp Pull

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-09-13-1-1 ASTM A615-15 (Verified)
DIME Test ID: 2021-09-13-1-2 ASTM A615-15 (Verified)
DIME Test ID: 2021-09-13-1-3 ASTM A615-15 (Verified)