Sample Record
DIME Sample ID 2025-11-18-30
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
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 Lab
- CT HQ - QASI Los Angeles Field Office
Sample Information
| Sample Taken Date | 11/18/2025 | Sample Unique Key | 30 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 11/24/2025 | Sample type | Quality Assurance |
| A brief description of the sample | #11 Grade 75 Epoxy Coated All-Thread Bar | The quantity of what the sample constitutes | 20 |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | Johnathan |
| Last name of sampler or witnessed by | Shoulders | 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 | L179-051-25 | |
| Structure unique identifier | Structure name | ||
| Bid Item | 45 - SOIL NAIL |
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 Grade 1030 | 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) | 1000128138 |
| Nut Heat Number(s) | 74124863 | Bar Lot Number | |
| Nut Lot Number | Coupler Heat Number(s) | ||
| Coupler Grade |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-11-18-30-1 ASTM A615-20 (Verified)