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 Identifiers | Project ID: 214549 DEA: 081H2904 EFIS: 0817000006 |
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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 | 10/05/2021 | Sample Unique Key | 2 |
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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 | 10/12/2021 |
Sample type | Quality Assurance | A brief description of the sample | #8 ASTM A615 Grade 75 Bar |
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 | 7073428602 |
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 | L110-138-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Threaded Bar | Production or Authorization Testing | Authorization Testing |
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Threaded Bar Specification | ASTM A615 | Threaded Bar Grade | 75 |
Threaded Bar Type | Plain | Rebar Size | #8 |
Nut Specification for Threaded Bar | ASTM A108/A29/A576 | System Manufacturer | Williams Form Engineering CO |
Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
Coating Standards | Uncoated | Bar Heat Number(s) | DL20102007 |
Nut Heat Number(s) | 5392774 | Bar Lot Number | DL2010200703 |
Nut Lot Number | 8V1D | Coupler Heat Number(s) | NA |
Coupler Grade | NA |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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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)