Sample Record for 2018-08-08-6
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212995 DEA: 01262044 EFIS: 0112000203
QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-101-47.2/47.3
Work Description:
Location Description:
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 1324 S. State Street, Ukiah, CA 95482
Resident Engineer: Nash Munes Structure Rep.: Tatjana Halda
Sample Information
DIME Sample ID: 2018-08-08-6
TL Number from the TL Form:
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: 5625005861
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 08/08/2018
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 150
A brief description of the sample: A615 Grade 75 Threaded Bar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Eng
Material Information
Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size:
Nut Specification for Threaded Bar: ASTM A576
System Manufacturer: Williams Form Eng
Epoxy Coating Color: Purple
Threaded Bar Application: Soil Nail
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 10892227
Nut Heat Number(s): 8296508
Bar Lot Number: 10089222722
Nut Lot Number: 9JD1
Coupler Heat Number(s): 75067849 A170281
Coupler Grade: GR75 ATR
Test Results
