Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2022-04-11-28
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Project Information
| Project Identifiers | Project ID: 214099 DEA: 024F5904 EFIS: 0213000010 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-5-R25.4 |
| Award Date | 07/08/2020 |
| Closeout Date | 08/14/2023 |
| Work Description | BRIDGE SEISMIC RETROFIT AND SCOUR REPAIR. |
| Location Description | TEHAMA COUNTY IN RED BLUFF AT SACRAMENTO RIVER BRIDGE |
| QA Service Level | 1 (Verified on 05/07/2019) |
Sample Information
| Sample Taken Date | 04/11/2022 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 04/21/2022 |
| Sample type | Quality Assurance | A brief description of the sample | A722 Threaded Bar |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form Engineering | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 150 |
| Threaded Bar Type | Rebar Size | ||
| Nut Specification for Threaded Bar | A29 | System Manufacturer | Williams Form Engineering |
| Epoxy Coating Color | NA | Threaded Bar Application | |
| Coating Standards | Uncoated | Bar Heat Number(s) | 100204161 |
| Nut Heat Number(s) | 74115021 | Bar Lot Number | |
| Nut Lot Number | Coupler Heat Number(s) | ||
| Coupler Grade |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-04-11-28-1 ASTM A722-18 (Verified)
DIME Test ID: 2022-04-11-28-2 ASTM A722-18 (Verified)