Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-07-16-55
Project Information
| Project Identifiers | Project ID: 1000665 DEA: 081K4004 EFIS: 0819000031 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-3.5/6.8 |
| Award Date | 01/29/2025 |
| Closeout Date | Not set |
| Work Description | HMA (TYPE A), RDWY EXC, STR CONC RET WALL, RUBBERIZED HMA (OGFC). |
| Location Description | TEMECULA FROM 0.1 MI NORTH OF TEMECULA PARKWAY TO 0.2 MI NORTH OF WINCHESTER ROAD |
| QA Service Level | 1 (Verified on 01/13/2025) |
Sample Information
| Sample Taken Date | 07/16/2025 | Sample Unique Key | 55 |
|---|---|---|---|
| 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 | 07/21/2025 |
| Sample type | Quality Assurance | A brief description of the sample | #9 Epoxy Coated All Thread A615 Gr. 75 |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | NA | Last name of sampler or witnessed by | NA |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form Eng | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 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 | #9 |
| Nut Specification for Threaded Bar | A29 | System Manufacturer | Williams Form Eng |
| Epoxy Coating Color | Purple | Threaded Bar Application | |
| Coating Standards | ASTM A934 epoxy | Bar Heat Number(s) | 1000124858 |
| Nut Heat Number(s) | 1000223273 | Bar Lot Number | |
| Nut Lot Number | 9M7D | 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: 2025-07-16-55-1 ASTM A615-15 (Verified)
