Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2020-09-25-2
Project Information
| Project Identifiers | Project ID: 214629 DEA: 051H9304 EFIS: 0517000017 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-46-R17.2/R17.6 |
| Award Date | 04/07/2020 |
| Closeout Date | 10/20/2022 |
| Work Description | CONSTRUCT ROUNDABOUT. |
| Location Description | SAN LUIS OBISPO COUNTY NEAR TEMPLETON FROM 0.2 MILE WEST TO 0.2 MILE EAST OF VINEYARD DRIVE |
| QA Service Level | 1 (Verified on 02/20/2020) |
Sample Information
| Sample Taken Date | 09/25/2020 | 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 | 09/29/2020 |
| Sample type | Department Acceptance | A brief description of the sample | #8 ASTM A615 Grade 75 Soil Nail |
| 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 | Williams Form Engineering-SD | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L110-192-20 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
| Threaded Bar Type | Plain | Rebar Size | #8 |
| Nut Specification for Threaded Bar | n/a | System Manufacturer | Williams Form Engineering |
| Epoxy Coating Color | Purple | Threaded Bar Application | Soil Nail |
| Coating Standards | ASTM A934 epoxy | Bar Heat Number(s) | 100104509 |
| Nut Heat Number(s) | Bar Lot Number | 10010450920 | |
| 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: 2020-09-25-2-1 ASTM A615-15 (Verified)
DIME Test ID: 2020-09-25-2-2 ASTM A615-15 (Verified)
DIME Test ID: 2020-09-25-2-3 ASTM A884-14 (Verified)
DIME Test ID: 2020-09-25-2-4 ASTM A884-13 (Verified)
