Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2021-07-08-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214549
DEA: 081H2904
EFIS: 0817000006
DIST-CO-RTE-PM08-SBD-173-18.7
Award Date08/20/2020
Closeout DateNot set
Work DescriptionSTRUCTURAL CONCRETE SOIL NAIL WALL AND SOLDIER PILE WALL.
Location DescriptionSAN BERNARDINO COUNTY NEAR CEDAR GLEN AT 0.1 MILE SOUTH OF HOSPITAL ROAD
QA Service Level1 (Verified on 01/13/2020)

Sample Information

Sample Taken Date07/08/2021 Sample Unique Key3
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 testing07/13/2021
Sample typeQuality Assurance A brief description of the sampleA615 Gr 75 Threaded Bar
The quantity of what the sample constitutesHeat 100210630 From where was the sample collectedManufacturer
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerASI Telephone number of sampler310-883-8369
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWilliams Form Engineering Golden, CO Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL79-031-21 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 TypePlain Rebar Size#8
Nut Specification for Threaded BarASTM A108 System ManufacturerWIlliams Form Engineering
Epoxy Coating ColorNA Threaded Bar ApplicationSoil Nail
Coating StandardsUncoated Bar Heat Number(s)100210630
Nut Heat Number(s)5392774 Bar Lot Number
Nut Lot Number8V1D Coupler Heat Number(s)NA
Coupler GradeNA

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-07-08-3-1ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory07/13/2021bewing
Yes
07/13/2021A615 Bar and Nut
2021-07-08-3-2ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory07/13/2021bewing
Yes
07/13/2021A615 Bar and Nut