Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-03-06-1
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Project Information
| Project Identifiers | Project ID: 995482 DEA: 112T36U4 EFIS: 1122000243 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-5-37.4-52.6 |
| Award Date | 10/20/2023 |
| Closeout Date | Not set |
| Work Description | I-5 NCC SEGMENT 4C |
| Location Description | I-5 in San Diego County at Various Locations from Lomas Santa Fe Drive Undercrossing to 0.2 Mile North of Oceanside Undercrossing |
| QA Service Level | 1 (Verified on 11/20/2023) |
Sample Information
| Sample Taken Date | 03/06/2024 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 03/08/2024 |
| Sample type | Quality Assurance | A brief description of the sample | #8 Threaded Bar |
| The quantity of what the sample constitutes | 73 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Adrian | Last name of sampler or witnessed by | Sanchez |
| Title of sampler | Telephone number of sampler | 2137133499 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dywidag Systems International | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L159-026-24 | 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 | Deformed | Rebar Size | #8 |
| Nut Specification for Threaded Bar | ASTM A519 | System Manufacturer | Dywidag Systems |
| Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
| Coating Standards | Uncoated | Bar Heat Number(s) | 58059140 |
| Nut Heat Number(s) | 74128183 | Bar Lot Number | |
| Nut Lot Number | Coupler Heat Number(s) | ||
| Coupler Grade |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-03-06-1-1 ASTM A615-20 (Verified)
DIME Test ID: 2024-03-06-1-2 ASTM A615-20 (Verified)