Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2019-10-28-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212036 DEA: 044K2404 EFIS: 0417000284 |
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DIST-CO-RTE-PM | 04-MRN,MRN-1-10.9, 10.8/10.9, 10.90, 6.6/10.9 |
Award Date | 01/31/2017 |
Closeout Date | 10/17/2022 |
Work Description | Construct Solier Pile Wall |
Location Description | Not set |
QA Service Level | 1 (Verified on 03/17/2017) |
Sample Information
Sample Taken Date | 10/28/2019 | Sample Unique Key | 2 |
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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 | 10/31/2019 |
Sample type | Quality Assurance | A brief description of the sample | B7X Geo-Drill Injection Bar 32 mm GA |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
Title of sampler | QA | Telephone number of sampler | 213 435 4055 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | William Form Engineering | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L140-042-19 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
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Threaded Bar Specification | ASTM A513 | Threaded Bar Grade | 90 |
Threaded Bar Type | Rebar Size | ||
Nut Specification for Threaded Bar | ASTM A108 | System Manufacturer | Williams Form Engineering |
Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
Coating Standards | ASTM A153 galvanized | Bar Heat Number(s) | 4173505 |
Nut Heat Number(s) | 8295752 | Bar Lot Number | C21032757 |
Nut Lot Number | Unknown | Coupler Heat Number(s) | M54421 |
Coupler Grade | 12 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-10-28-2-1 ASTM A615-15 (Verified)