Sample Record

Owner Labs

  • CT HQ - QASI Los Angeles Field Office
  • Kleinfelder - Rancho Cordova

DIME Sample ID 2025-11-18-31

Project Information

Project IdentifiersProject ID: 1000258
DEA: 042K3604
EFIS: 0416000410
DIST-CO-RTE-PM04-SON-116-9.6
Award Date05/07/2025
Closeout DateNot set
Work DescriptionREPAIR SIDE SLOPE AND CONSTRUCT SOIL NAIL WALL.
Location DescriptionSONOMA COUNTY NEAR MONTE RIO AT 0.2 MILE WEST OF CNOPIUS ROAD
QA Service Level1 (Verified on 04/11/2024)

Sample Information

Sample Taken Date11/18/2025 Sample Unique Key31
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 testing11/24/2025
Sample typeQuality Assurance A brief description of the sample#11 Grade 75 Epoxy Coated All-Thread Bar
The quantity of what the sample constitutes20 From where was the sample collectedFabricator
First name of sampler or witnessed byJohnathan Last name of sampler or witnessed byShoulders
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form Engineering-SD Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL179-052-25 Structure unique identifier
Structure name Bid Item45 - SOIL NAIL

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A615 Threaded Bar Grade75
Threaded Bar TypeDeformed Rebar Size#11
Nut Specification for Threaded BarASTM A29 System ManufacturerWilliams Form Engineering San Diego
Epoxy Coating ColorPurple Threaded Bar ApplicationSoil Nail
Coating StandardsASTM A934 epoxy Bar Heat Number(s)1000128139
Nut Heat Number(s)74124863 Bar Lot Number
Nut Lot Number Coupler Heat Number(s)
Coupler Grade

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2025-11-18-31-1ASTM A615-20: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)Andrew Auvinen, Kleinfelder - Rancho Cordova12/03/202512/03/2025
No

Sample File Attachments

File NameExtensionDate UploadedActions
COVER SHEET TM5 Threaded Bar rev 2025-11-18-31pdf12/02/2025   Info

Test File Attachments


DIME Test ID: 2025-11-18-31-1 ASTM A615-20