Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-10-08-6
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Project Information
| Project Identifiers | Project ID: 1000258 DEA: 042K3604 EFIS: 0416000410 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-116-9.6 |
| Award Date | 05/07/2025 |
| Closeout Date | Not set |
| Work Description | REPAIR SIDE SLOPE AND CONSTRUCT SOIL NAIL WALL. |
| Location Description | SONOMA COUNTY NEAR MONTE RIO AT 0.2 MILE WEST OF CNOPIUS ROAD |
| QA Service Level | 1 (Verified on 04/11/2024) |
Sample Information
| Sample Taken Date | 10/08/2025 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 10/14/2025 |
| Sample type | Verification | A brief description of the sample | #11 (L.H) Grade 75 Epoxy Coated Soil Nails |
| The quantity of what the sample constitutes | 60 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
| Title of sampler | Telephone number of sampler | ||
| 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 | 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 | #11 |
| Nut Specification for Threaded Bar | ASTM A29 | System Manufacturer | Williams Form Engineering San Diego |
| Epoxy Coating Color | Purple | Threaded Bar Application | Soil Nail |
| Coating Standards | ASTM A934 epoxy | Bar Heat Number(s) | 1000225502 |
| Nut Heat Number(s) | 74124863 | Bar Lot Number | 100022550240 |
| Nut Lot Number | 11N5D | Coupler Heat Number(s) | NA |
| Coupler Grade | NA |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-10-08-6-1 ASTM A615-20 (Verified)