Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-09-25-1
Project Information
Project Identifiers | Project ID: 214629 DEA: 051H9304 EFIS: 0517000017 |
---|---|
DIST-CO-RTE-PM | 05-SLO-46-R17.2/R17.6 |
Award Date | 04/07/2020 |
Closeout Date | 10/20/2022 |
Work Description | CONSTRUCT ROUNDABOUT. |
Location Description | SAN LUIS OBISPO COUNTY NEAR TEMPLETON FROM 0.2 MILE WEST TO 0.2 MILE EAST OF VINEYARD DRIVE |
QA Service Level | 1 (Verified on 02/20/2020) |
Sample Information
Sample Taken Date | 09/25/2020 | Sample Unique Key | 1 |
---|---|---|---|
Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 09/29/2020 |
Sample type | Acceptance | A brief description of the sample | #8 ASTM A615 Grade 75 Soil Nail |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
Title of sampler | QA Inspector | Telephone number of sampler | 707-342-8602 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Williams Form Engineering-SD | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L110-192-20 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
---|---|---|---|
Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
Threaded Bar Type | Plain | 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) | 100795951 |
Nut Heat Number(s) | 8299543 | Bar Lot Number | 10079595120 |
Nut Lot Number | 8T1D | Coupler Heat Number(s) | A186354 |
Coupler Grade | 75 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2020-09-25-1-1 ASTM A615-15 (Verified)
DIME Test ID: 2020-09-25-1-2 ASTM A615-15 (Verified)