Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-04-30-1
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Project Information
| Project Identifiers | Project ID: 210837 DEA: 080J0804 EFIS: 0800000283 COOP: 081625 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-34.7/51.6 |
| Award Date | 04/17/2017 |
| Closeout Date | Not set |
| Work Description | (Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT |
| Location Description | Riverside County and SBD-15-0.0/1.3 |
| QA Service Level | 1 (Verified on 05/08/2017) |
Sample Information
| Sample Taken Date | 04/30/2020 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 05/04/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Galvanized Soil Nail Threaded Bar |
| The quantity of what the sample constitutes | One Lot of 115 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 | ASI | 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 | L79-024-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
| Threaded Bar Type | Plain | Rebar Size | #8 |
| Nut Specification for Threaded Bar | A108 | System Manufacturer | Williams Form Engineering |
| Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
| Coating Standards | ASTM A153 galvanized | Bar Heat Number(s) | 100892227 |
| Nut Heat Number(s) | 8299543, CODE 8T1D | Bar Lot Number | 1 |
| Nut Lot Number | 1 | Coupler Heat Number(s) | NA |
| Coupler Grade | NA |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-30-1-1 ASTM A615-15 (Verified)
DIME Test ID: 2020-04-30-1-2 ASTM A615-15 (Verified)