Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2021-10-05-2

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 Date10/02/2024
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 Date10/05/2021 Sample Unique Key2
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 testing10/12/2021
Sample typeQuality Assurance A brief description of the sample#8 ASTM A615 Grade 75 Bar
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 sampler7073428602
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) FormL110-138-21 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/A29/A576 System ManufacturerWilliams Form Engineering CO
Epoxy Coating ColorNA Threaded Bar ApplicationSoil Nail
Coating StandardsUncoated Bar Heat Number(s)DL20102007
Nut Heat Number(s)5392774 Bar Lot NumberDL2010200703
Nut Lot Number8V1D Coupler Heat Number(s)NA
Coupler GradeNA

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-10-05-2-1ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory10/13/2021fsaylor
Yes
10/14/2021A615 Grip Pull
2021-10-05-2-2ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory10/13/2021fsaylor
Yes
10/14/2021A615 Grip Pull

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-10-05-2-1 ASTM A615-15 (Verified)
DIME Test ID: 2021-10-05-2-2 ASTM A615-15 (Verified)