Sample Record
Owner Labs
- CT HQ - QASI Bay Area Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2026-07-24-2
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Project Information
| Project Identifiers | Project ID: 1002369 DEA: 061K4404 EFIS: 0626000241 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-168-L30.34/L30.84 |
| Award Date | 06/01/2026 |
| Closeout Date | Not set |
| Work Description | Rockslide Repair - Install four (4) bonded rock anchors at one (1) location. Bars to be 150 ksi, 1"-4 diameter/pitch, 12 ft long with 5 ft bond length. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 07/01/2026) |
Sample Information
| Sample Taken Date | 07/24/2026 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 07/24/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 1 inch ASTM A722 All-Thread Bar (150 ksi) Rock Anchor System with Hex Nut and Washer |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Peter | Last name of sampler or witnessed by | Harvey |
| Title of sampler | Telephone number of sampler | 7073642452 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B405 | Structure unique identifier | |
| Structure name | Bid Item | 1 - BONDED ROCK ANCHORS |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A722 | Threaded Bar Grade | 150 |
| Threaded Bar Type | Deformed | Rebar Size | #8 |
| Nut Specification for Threaded Bar | 150 ksi | System Manufacturer | Williams Form Engineering |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | ASTM A153 galvanized | Bar Heat Number(s) | 58062582 |
| Nut Heat Number(s) | 1000127644 | Bar Lot Number | |
| Nut Lot Number | Coupler Heat Number(s) | ||
| Coupler Grade |
Submitted Tests
Test File Attachments
DIME Test ID: 2026-07-24-2-1 ASTM A722-18 (Verified)