Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-07-23-34
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Project Information
| Project Identifiers | Project ID: 995202 DEA: 033H6104 EFIS: 0318000019 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-80-42.7/49.3 |
| Award Date | 02/15/2024 |
| Closeout Date | Not set |
| Work Description | RDWY EXC, HMA, JPCP, ALT PIPELINER, STEEL SOLDIER PILE, MOD LTG SYSTEM |
| Location Description | PLACER COUNTY ABOUT 9.4 MILES NORTH OF COLFAX FROM 0.5 MILE WEST OF MONTE VISTA OVERCROSSING TO 0.3 MILE EAST OF DRUM FOREBAY OVERCROSSING |
| QA Service Level | 1 (Verified on 11/13/2023) |
Sample Information
| Sample Taken Date | 07/23/2024 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 07/26/2024 |
| Sample type | Quality Assurance | A brief description of the sample | #10 x 5' |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 7029172503 |
| 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 | L115-106-24 | 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 | #10 |
| Nut Specification for Threaded Bar | ASTM A897 | System Manufacturer | Farrar Corporation |
| Epoxy Coating Color | NA | Threaded Bar Application | Soil Nail |
| Coating Standards | Uncoated | Bar Heat Number(s) | 58059057/02 |
| Nut Heat Number(s) | B274 | Bar Lot Number | 58059057/02 |
| Nut Lot Number | B274 | Coupler Heat Number(s) | N/A |
| Coupler Grade | N/A |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-07-23-34-1 ASTM A615-20 (Verified)
DIME Test ID: 2024-07-23-34-2 ASTM A615-20 (Verified)