Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2020-09-25-1

Project Information

Project IdentifiersProject ID: 214629
DEA: 051H9304
EFIS: 0517000017
DIST-CO-RTE-PM05-SLO-46-R17.2/R17.6
Award Date04/07/2020
Closeout Date10/20/2022
Work DescriptionCONSTRUCT ROUNDABOUT.
Location DescriptionSAN LUIS OBISPO COUNTY NEAR TEMPLETON FROM 0.2 MILE WEST TO 0.2 MILE EAST OF VINEYARD DRIVE
QA Service Level1 (Verified on 02/20/2020)

Sample Information

Sample Taken Date09/25/2020 Sample Unique Key1
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 testing09/29/2020
Sample typeAcceptance A brief description of the sample#8 ASTM A615 Grade 75 Soil Nail
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of samplerQA Inspector Telephone number of sampler707-342-8602
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) FormL110-192-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Threaded Bar Production or Authorization TestingAuthorization Testing
Threaded Bar SpecificationASTM A615 Threaded Bar Grade75
Threaded Bar TypePlain Rebar Size#8
Nut Specification for Threaded BarASTM A108 System ManufacturerWilliams Form Engineering
Epoxy Coating ColorPurple Threaded Bar ApplicationSoil Nail
Coating StandardsASTM A934 epoxy Bar Heat Number(s)100795951
Nut Heat Number(s)8299543 Bar Lot Number10079595120
Nut Lot Number8T1D Coupler Heat Number(s)A186354
Coupler Grade75

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-09-25-1-1ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory10/01/2020bewing
Yes
10/01/2020A615 Threaded Bar and Nut
2020-09-25-1-2ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory10/01/2020bewing
Yes
10/01/2020A615 Threaded Bar, Nut, and Coupler Heat #8W2D

Sample File Attachments

File NameExtensionDate UploadedActions
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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)