Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2017-05-30-1

Project Information

Project IdentifiersProject ID: 211712
DEA: 07305204
EFIS: 0714000092
DIST-CO-RTE-PM07-VEN-33-15.7
Award Date11/28/2016
Closeout DateNot set
Work DescriptionCONSTRUCT SOIL NAIL WALL AND ROCK SLOPE PROTECTION.
Location DescriptionVENTURA COUNTY NEAR OJAI AT 0.1 MILE SOUTH OF NORTH FORK MATILIJA CREEK BRIDGE
QA Service Level1 (Verified on 09/12/2016)

Sample Information

Sample Taken Date05/30/2017 Sample Unique Key1
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 testing06/02/2017
Sample typeQuality Assurance A brief description of the sampleNo. 9 Grade 75 epoxy coated bars, and hex nuts
The quantity of what the sample constitutes2 From where was the sample collectedManufacturer
First name of sampler or witnessed byKenneth Last name of sampler or witnessed byVarela
Title of samplerAssociate Steel Inspector Telephone number of sampler562-440-7716
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form Eng Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL0805917 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A615 Threaded Bar Grade75
Threaded Bar TypeDeformed Rebar Size
Nut Specification for Threaded BarASTM A615 System ManufacturerWilliams Form Eng
Epoxy Coating ColorPurple Threaded Bar ApplicationSoil Nail
Coating StandardsASTM A934 epoxy Bar Heat Number(s)100786966
Nut Heat Number(s)NF15203512 Bar Lot Number10078696621
Nut Lot Number9H5D Coupler Heat Number(s)N/A
Coupler GradeN/A

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-05-30-1-1ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)FredCT HQ - Sacramento Structural Materials Testing Laboratory06/07/2017Fred
Yes
06/15/2017A615 Bar & Nut
2017-05-30-1-2ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)FredCT HQ - Sacramento Structural Materials Testing Laboratory06/07/2017Fred
Yes
06/15/2017A615 Bar & Nut
2017-05-30-1-3ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)Glen WeldonCT HQ - Sacramento Structural Materials Testing Laboratory06/07/2017Glen Weldon
Yes
06/15/2017