Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2019-10-28-3
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Project Information
| Project Identifiers | Project ID: 212036 DEA: 044K2404 EFIS: 0417000284 |
|---|---|
| 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 | 3 |
|---|---|---|---|
| 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 | L140-043-19 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| 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) | 4124818 |
| 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-10-28-3-2 ASTM A615-15 (Verified)