Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-06-10-16

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 Date06/10/2026 Sample Unique Key16
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 testing06/10/2026
Sample typeQuality Assurance A brief description of the sampleEpoxy Coated Thread bar
The quantity of what the sample constitutes8 From where was the sample collectedDistributor
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQA Telephone number of sampler7029172503
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-081-26 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/A108 System Manufacturernucor
Epoxy Coating ColorPurple Threaded Bar ApplicationThreaded Bar
Coating StandardsASTM A934 epoxy Bar Heat Number(s)1000134063, 1000134062, 1000235070, 100013325
Nut Heat Number(s)79000945, 74124863 Bar Lot Number
Nut Lot Number11N7D, 11N5D Coupler Heat Number(s)256841, 20856910
Coupler Grade1215

Submitted Tests

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