Sample Record
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) |
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Information
| Sample Taken Date | 10/08/2025 | Sample Unique Key | 6 |
|---|---|---|---|
| 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)