Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-04-01-1
Project Information
| Project Identifiers | Project ID: 213723 DEA: 040J3804 EFIS: 0413000462 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-680-R11.0/R12.0 |
| Award Date | 01/15/2019 |
| Closeout Date | 11/09/2021 |
| Work Description | CONSTRUCT SOIL NAIL WALLS AND GEOSYNTHETIC REINFORCED EMBANKMENTS |
| Location Description | CONTRA COSTA COUNTY AT ALAMO FROM 0.3 MILE SOUGHT OF LIVORNA ROAD UNDERCROSSING TO 0.6 MILE SOUTH OF RUDGEAR ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 01/28/2019) |
Sample Information
| Sample Taken Date | 04/01/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 04/03/2019 |
| Sample type | Quality Assurance | A brief description of the sample | #8 Threaded Bar with nuts |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
| Title of sampler | QA Inspector | Telephone number of sampler | 707-342-8602 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | DSI | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L110 039-19 | Structure unique identifier | Not set |
| Structure name | Not set | 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 | Deformed | Rebar Size | 8 |
| Nut Specification for Threaded Bar | ASTM A519 | System Manufacturer | DSI |
| Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
| Coating Standards | Uncoated | Bar Heat Number(s) | 62148703 and 62149036 |
| Nut Heat Number(s) | 00A184094 and 00A164230 | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-04-01-1-1 ASTM A615-15 (Verified)
DIME Test ID: 2019-04-01-1-2 ASTM A615-15 (Verified)
DIME Test ID: 2019-04-01-1-3 ASTM A615-15 (Verified)
DIME Test ID: 2019-04-01-1-4 ASTM A615-15 (Verified)
