Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2020-06-24-5

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date06/24/2020 Sample Unique Key5
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 testing07/09/2020
Sample typeQuality Assurance A brief description of the sampleSoil Anchors
The quantity of what the sample constitutes2 From where was the sample collectedSource
First name of sampler or witnessed byMohamed Last name of sampler or witnessed byAbdelbarr
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form Engineering-SD Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingProduction Testing
Threaded Bar SpecificationASTM A615 Threaded Bar Grade75
Threaded Bar Type Rebar Size
Nut Specification for Threaded Bar#8 Hex Nuts System ManufacturerWilliams Form Engineering
Epoxy Coating ColorPurple Threaded Bar ApplicationSoil Nail
Coating StandardsASTM A934 epoxy Bar Heat Number(s)100201185
Nut Heat Number(s) Bar Lot Number
Nut Lot Number Coupler Heat Number(s)
Coupler Grade

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-06-24-5-1ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory07/10/2020fsaylor
Yes
07/10/2020A615 Retest Bar
2020-06-24-5-2ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory07/10/2020fsaylor
Yes
07/10/2020A615 Retest Bar
2020-06-24-5-3ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory07/10/2020fsaylor
Yes
07/10/2020A615 Retest Bar
2020-06-24-5-4ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory07/10/2020fsaylor
Yes
07/10/2020A615 Retest Bar

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-06-24-5-1 ASTM A615-15 (Verified)
DIME Test ID: 2020-06-24-5-2 ASTM A615-15 (Verified)
DIME Test ID: 2020-06-24-5-3 ASTM A615-15 (Verified)
DIME Test ID: 2020-06-24-5-4 ASTM A615-15 (Verified)