Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-04-12-4
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 211848 DEA: 112T2174 EFIS: 1116000131 |
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DIST-CO-RTE-PM | 11-SD-5-R37.4 - R46.5 |
Award Date | 12/22/2016 |
Closeout Date | Not set |
Work Description | (Alternative Delivery) CMGC, San Elijo Highway Bridge Replacement. Replace the San Elijo lagoon highway bridge, construct HOV lanes, construct bike and pedestrian trails and bridge, build multi-use facility at Manchester Ave. |
Location Description | IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS FROM 0.1 MILE NORTH OF LOMAS SANTA FE DRIVE OVERCROSSING TO 0.2 MILE SOUTH OF BIRMINGHAM DRIVE OVERCROSSING |
QA Service Level | 1 (Verified on 01/31/2017) |
Sample Information
Sample Taken Date | 04/12/2019 | Sample Unique Key | 4 |
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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 | 04/12/2019 |
Sample type | Quality Assurance | A brief description of the sample | 8 ASTM A615 Grade 75 ASTM A934 Purple Epoxy Coated Threaded WFE Bars w/ nuts |
The quantity of what the sample constitutes | 307 by 50 foot long bars | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Weeks |
Title of sampler | Associate Steel Inspector | Telephone number of sampler | 310-883-8369 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Williams Form San Diego | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L79-141-19 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
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Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
Threaded Bar Type | Deformed | Rebar Size | 8 |
Nut Specification for Threaded Bar | ASTM A108 | System Manufacturer | Williams Form Engineering |
Epoxy Coating Color | Purple | Threaded Bar Application | Soil Nail |
Coating Standards | ASTM A934 epoxy | Bar Heat Number(s) | 100894430 |
Nut Heat Number(s) | 8297103 | Bar Lot Number | 10089443020 |
Nut Lot Number | 8S9D | Coupler Heat Number(s) | NA |
Coupler Grade | NA |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-04-12-4-2 ASTM A615-15 (Verified)
DIME Test ID: 2019-04-12-4-3 ASTM A615-15 (Verified)