Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2022-07-21-2
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Project Information
| Project Identifiers | Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-8.2/8.7 |
| Award Date | 04/21/2020 |
| Closeout Date | Not set |
| Work Description | BRIDGE REPLACEMENT |
| Location Description | DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 07/21/2022 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 07/26/2022 |
| Sample type | Quality Assurance | A brief description of the sample | #9 Threaded Bar |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | QA | Telephone number of sampler | 17029172503 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | William Form Engineering | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-007-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
| Threaded Bar Type | Plain | Rebar Size | #9 |
| Nut Specification for Threaded Bar | ASTM A576 | System Manufacturer | Republic |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | Uncoated | Bar Heat Number(s) | 100104118 |
| Nut Heat Number(s) | 8294599 | Bar Lot Number | 10010411820 |
| Nut Lot Number | Coupler Heat Number(s) | N/A | |
| Coupler Grade |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-07-21-2-1 ASTM A615-20 (Verified)
DIME Test ID: 2022-07-21-2-3 ASTM A615-20 (Verified)