Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2026-07-31-2
Project Information
| Project Identifiers | Project ID: 1001281 DEA: 11430234 EFIS: 1118000029 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-805-0.1/14.6 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | REPLACE CONC PVMT, CONSTRUCT AUX LANE & BIKE TRAIL, ELECT, & LANDSCAPE |
| Location Description | SAN DIEGO COUNTY IN SAN DIEGO, CHULA VISTA AND NATIONAL CITY FROM 0.3 MILE SOUTH OF ROUTE 805/5 SEPARATION TO ROUTE 805/15 SEPARATION |
| QA Service Level | 1 (Verified on 06/09/2025) |
Sample Information
| Sample Taken Date | 07/31/2026 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 08/11/2026 |
| Sample type | Quality Assurance | A brief description of the sample | #9 Gr 75 (ASTM A615) All Thread Bar and Hex Nuts |
| The quantity of what the sample constitutes | 11 pcs | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Johnathan | Last name of sampler or witnessed by | Shoulders |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Williams Form Engineering | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
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 | Rebar Size | ||
| Nut Specification for Threaded Bar | ASTM A29/A108 | System Manufacturer | Williams Form Engineering San Diego |
| Epoxy Coating Color | NA | Threaded Bar Application | |
| Coating Standards | Uncoated | Bar Heat Number(s) | 1000235791 |
| Nut Heat Number(s) | 1000128766 | Bar Lot Number | |
| Nut Lot Number | Coupler Heat Number(s) | ||
| Coupler Grade |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2026-07-31-2-1 ASTM A615-20 (Verified)
