Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993173 DEA: 042J88U4 EFIS: 0418000401
QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29-38.9/42.9
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2023-02-23-22
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Per Request
Type of Material: SMTL TM6 - Steel Check Sample Plate
Sample Taken Date: 02/23/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/10/2023
The quantity of what the sample constitutes: 1
A brief description of the sample: 0.5 square rebar
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: na
Heat Number(s): na
Material Specification: N/A
Grade: na
Thickness: 0.5
Shape: Cored Rebar Trapezoid shape half inch thickne
Metal Foundry Manufacturer (Mill): na
Plate Dimension: 2.98" x 2.16" x 0.5" thick
DIME Test ID: 2023-02-23-22-1
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/12/2023
Date Tested: 04/11/2023
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No.
|
1A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
Plain
|
Product Markings
|
0
|
Size
|
0.5
|
Bolt Length
|
0
|
Hardness Reading Scale
|
B Scale
|
Hardness Reading Average
|
70.82
|
Spacing
|
Ok
|