Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-09-15-13
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000300 DEA: 060S0504 EFIS: 0615000047 |
|---|---|
| DIST-CO-RTE-PM | 06-KER-166-17.5 |
| Award Date | 08/23/2024 |
| Closeout Date | Not set |
| Work Description | MICROPILING, STRUCTURAL CONCRETE, AND HOT MIX ASPHALT (TYPE A). |
| Location Description | KERN COUNTY NEAR METTLER AT CALIFORNIA AQUEDUCT BRIDGE |
| QA Service Level | 1 (Verified on 05/06/2024) |
Sample Information
| Sample Taken Date | 09/15/2025 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 09/18/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 2 1/2" 150KSI All-Thread Bar |
| The quantity of what the sample constitutes | 6 | 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 | L159-118-25 | 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 A722 | Threaded Bar Grade | 20 |
| Threaded Bar Type | Deformed | Rebar Size | M65 |
| Nut Specification for Threaded Bar | ASTM A29 | System Manufacturer | Williams Form Engineering San Diego |
| Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
| Coating Standards | Uncoated | Bar Heat Number(s) | 1000225025,1000224434 |
| Nut Heat Number(s) | 79016012 | Bar Lot Number | |
| Nut Lot Number | Coupler Heat Number(s) | 4000027846 | |
| Coupler Grade |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-09-15-13-1 ASTM A722-18 (Verified)