Sample Record

DIME Sample ID 2024-10-31-4

Project Information

Project IdentifiersProject ID: 993253
DEA: 033F0604
EFIS: 0312000052
DIST-CO-RTE-PM03-GLE-162-76.3/78.6
Award Date02/02/2022
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/08/2022)

Owner Lab

  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date10/31/2024 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testing10/31/2024 Sample typeQuality Assurance
A brief description of the sampleHRC 555 #6 Double Headed Rebar The quantity of what the sample constitutes100
From where was the sample collectedFabricator First name of sampler or witnessed byLevi
Last name of sampler or witnessed byPivoda Title of samplerAssociate Steel Inspector
Telephone number of sampler9152961871 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC Rebar
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4143115 Head Manufacturer Lot Number(s)63
Rebar Size#6 Headed Bar Model NameHRC 555
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerCMC Steel Arizona
Head ManufacturerHRC Head FabricatorHeaded Reinforcement Corp
Material Standard CodeASTM A706 Headed Bar Unique ID4FG-17-01

Submitted Tests

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