Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-03-01-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 211848 DEA: 112T2174 EFIS: 1116000131 |
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DIST-CO-RTE-PM | 11-SD-5-R37.4 - R46.5 |
Award Date | 12/22/2016 |
Closeout Date | Not set |
Work Description | (Alternative Delivery) CMGC, San Elijo Highway Bridge Replacement. Replace the San Elijo lagoon highway bridge, construct HOV lanes, construct bike and pedestrian trails and bridge, build multi-use facility at Manchester Ave. |
Location Description | IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS FROM 0.1 MILE NORTH OF LOMAS SANTA FE DRIVE OVERCROSSING TO 0.2 MILE SOUTH OF BIRMINGHAM DRIVE OVERCROSSING |
QA Service Level | 1 (Verified on 01/31/2017) |
Sample Information
Sample Taken Date | 03/01/2018 | Sample Unique Key | 1 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 03/05/2018 |
Sample type | Retest | A brief description of the sample | No. 8 grade 075 epoxy coated thread bar |
The quantity of what the sample constitutes | 125 pcs. | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Ken | Last name of sampler or witnessed by | Varela |
Title of sampler | Associate Steel Inspector | Telephone number of sampler | 951-229-9279 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Williams Form Eng | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L08-015-18 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Retest |
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Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
Threaded Bar Type | Rebar Size | 8 | |
Nut Specification for Threaded Bar | N/A | System Manufacturer | Williams Form Eng |
Epoxy Coating Color | Purple | Threaded Bar Application | Soil Nail |
Coating Standards | ASTM A934 epoxy | Bar Heat Number(s) | 100790536 |
Nut Heat Number(s) | N/A | Bar Lot Number | N/A |
Nut Lot Number | N/A | Coupler Heat Number(s) | N/A |
Coupler Grade | N/A |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-03-01-1-1 ASTM A934-13 (Verified)
DIME Test ID: 2018-03-01-1-2 ASTM A934-13 (Verified)