Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-04-02-2
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Project Information
| Project Identifiers | Project ID: 994875 DEA: 101F1804 EFIS: 1016000077 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-4-R16.0/R19.4 |
| Award Date | 09/20/2023 |
| Closeout Date | Not set |
| Work Description | BRIDGE WORK, CONCRETE BARRIER, AND INSTALL RAMP METER SYSTEM. |
| Location Description | SAN JOAQUIN COUNTY IN STOCKTON AT VARIOUS LOCATIONS FROM 0.3 MILE EAST OF ROUTE 4/5 SEPARATION TO 0.4 MILE WEST OF ROUTE 4/99 SEPARATION |
| QA Service Level | 1 (Verified on 06/14/2023) |
Sample Information
| Sample Taken Date | 04/02/2025 | Sample Unique Key | 2 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 04/09/2025 |
| Sample type | Quality Assurance | A brief description of the sample | #8 Grade 75 All- Thread Bar |
| The quantity of what the sample constitutes | 107 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Adrian | Last name of sampler or witnessed by | Sanchez |
| Title of sampler | Telephone number of sampler | 2137133499 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form Engineering-SD | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L159-036-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
| Threaded Bar Type | Rebar Size | #8 | |
| Nut Specification for Threaded Bar | ASTM A29 | System Manufacturer | Williams Form Engineering San Diego |
| Epoxy Coating Color | NA | Threaded Bar Application | |
| Coating Standards | Uncoated | Bar Heat Number(s) | 1000227588 |
| Nut Heat Number(s) | 1000224533 | 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: 2025-04-02-2-1 ASTM A615-20 (Verified)