Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-06-16-18
Sample Details QR Code
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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) |
Sample Information
| Sample Taken Date | 06/16/2026 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 testing | 06/16/2026 |
| Sample type | Quality Assurance | A brief description of the sample | #11 Threaded Bar |
| The quantity of what the sample constitutes | 12 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | QA | Telephone number of sampler | 7029172503 |
| 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 | L115-083-26 | 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/A108 | System Manufacturer | Gerdau |
| Epoxy Coating Color | Purple | Threaded Bar Application | Threaded Bar |
| Coating Standards | ASTM A123 galvanized | Bar Heat Number(s) | 1000134063, 1000134062, 1000235070, 100013325 |
| Nut Heat Number(s) | 79000945, 74124863 | Bar Lot Number | 100013406340, 100013406240, 100023507040, 100 |
| Nut Lot Number | 11N7D, 11N5D | Coupler Heat Number(s) | 256841-11G4D, 20856910-11D2D |
| Coupler Grade | 75 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||