Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-09-13-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215109 DEA: 081C8504 EFIS: 0813000047 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-74-0.0/5.8 |
| Award Date | 11/12/2020 |
| Closeout Date | 06/02/2025 |
| Work Description | ROADWAY EXCAVATION, HOT MIX ASPHALT, AND STRUCTURAL SHOTCRETE WALLS. |
| Location Description | RIVERSIDE COUNTY NEAR LAKE ELSINORE FROM ORANGE COUNTY LINE TO MONTE VISTA STREET |
| QA Service Level | 1 (Verified on 02/24/2021) |
Sample Information
| Sample Taken Date | 09/13/2021 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 09/20/2021 |
| Sample type | Verification | A brief description of the sample | #8 Grade 75 All Thread Bar |
| 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 San Diego | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L110-133-21 | 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 | ASTM A108 | System Manufacturer | Williams Form Engineering San Diego |
| Epoxy Coating Color | NA | Threaded Bar Application | Threaded Bar |
| Coating Standards | ASTM A123 galvanized | Bar Heat Number(s) | 100108552 |
| Nut Heat Number(s) | 8391581 | Bar Lot Number | 10010855221 |
| Nut Lot Number | 8U3D | Coupler Heat Number(s) | A186720 |
| Coupler Grade | 1215 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-09-13-1-1 ASTM A615-15 (Verified)
DIME Test ID: 2021-09-13-1-2 ASTM A615-15 (Verified)
DIME Test ID: 2021-09-13-1-3 ASTM A615-15 (Verified)
