Sample Record
Owner Lab
- Alta Vista Solutions - Whittier
DIME Sample ID 2025-04-23-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001169 DEA: 07314524 EFIS: 0722000300 COOP: 075283 |
|---|---|
| DIST-CO-RTE-PM | 07--- |
| Award Date | 07/03/2023 |
| Closeout Date | Not set |
| Work Description | I-105 METRO Express Lanes Project |
| Location Description | LA-105 PM R0.6/R10.1, LA-110 PM R14.1/R16.6 |
| QA Service Level | 2 (Verified on 04/11/2025) |
Sample Information
| Sample Taken Date | 04/23/2025 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | A615 Grade 75 Threaded Bar and Hex Nut |
| The quantity of what the sample constitutes | TBD | From where was the sample collected | Source |
| First name of sampler or witnessed by | Nicholas | Last name of sampler or witnessed by | Hoffmann |
| Title of sampler | Telephone number of sampler | 8562611057 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dywidag Systems International | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 000409-001-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
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 | Deformed | Rebar Size | #8 |
| Nut Specification for Threaded Bar | A519 | System Manufacturer | Dywidag Systems International |
| Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
| Coating Standards | Uncoated | Bar Heat Number(s) | 58063387/02, 58064732/02 |
| Nut Heat Number(s) | 73129194 | Bar Lot Number | 1 |
| Nut Lot Number | 1 | Coupler Heat Number(s) | |
| Coupler Grade |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||