Sample Record

Owner Lab

  • CT HQ - Vallejo Field Laboratory

DIME Sample ID 2026-06-25-15

Project Information

Project IdentifiersProject ID: 1002064
DEA: 010J8014
EFIS: 0120000032
DIST-CO-RTE-PM01-HUM-299-R8/R9.2
Award Date03/12/2026
Closeout DateNot set
Work DescriptionBlue Lake Realignment & SPGA Wall
Location DescriptionBlue Lake Landslide Repair
QA Service Level1 (Verified on 04/10/2026)

Sample Information

Sample Taken Date06/25/2026 Sample Unique Key15
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 testing06/29/2026
Sample typeQuality Assurance A brief description of the sample#9 Gr.75 Threaded Bar, Coupler, Nut, washers
The quantity of what the sample constitutes#9 Gr.75 Threaded Bar, Coupler, Nut, washers From where was the sample collectedSource
First name of sampler or witnessed byNikhil Last name of sampler or witnessed byMoon
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameZ systems Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingAuthorization Testing
Threaded Bar SpecificationASTM A615 Threaded Bar Grade75
Threaded Bar Type Rebar Size
Nut Specification for Threaded BarASTM A897 GR. 75 System Manufacturerz systems
Epoxy Coating ColorNA Threaded Bar Application
Coating StandardsUncoated Bar Heat Number(s)A216934
Nut Heat Number(s)K134 Bar Lot Number
Nut Lot Number Coupler Heat Number(s)5394158
Coupler Grade75

Submitted Tests

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