Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-07-08-3
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Project Information
| Project Identifiers | Project ID: 214549 DEA: 081H2904 EFIS: 0817000006 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-173-18.7 |
| Award Date | 08/20/2020 |
| Closeout Date | 10/02/2024 |
| Work Description | STRUCTURAL CONCRETE SOIL NAIL WALL AND SOLDIER PILE WALL. |
| Location Description | SAN BERNARDINO COUNTY NEAR CEDAR GLEN AT 0.1 MILE SOUTH OF HOSPITAL ROAD |
| QA Service Level | 1 (Verified on 01/13/2020) |
Sample Information
| Sample Taken Date | 07/08/2021 | 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 | 07/13/2021 |
| Sample type | Quality Assurance | A brief description of the sample | A615 Gr 75 Threaded Bar |
| The quantity of what the sample constitutes | Heat 100210630 | 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 Engineering Golden, CO | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L79-031-21 | 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 | ASTM A108 | System Manufacturer | WIlliams Form Engineering |
| Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
| Coating Standards | Uncoated | Bar Heat Number(s) | 100210630 |
| Nut Heat Number(s) | 5392774 | Bar Lot Number | |
| Nut Lot Number | 8V1D | 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: 2021-07-08-3-1 ASTM A615-15 (Verified)
DIME Test ID: 2021-07-08-3-2 ASTM A615-15 (Verified)