Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-11-25-1
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Project Information
| Project Identifiers | Project ID: 212470 DEA: 044A1304 EFIS: 0400001106 COOP: 042718 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-101-18.5/18.5 |
| Award Date | 11/17/2023 |
| Closeout Date | Not set |
| Work Description | CONSISTS OF MODIFICATION AND RECONSTRUCTION OF THE EXISTING US 101/HEARN AVENUE INTERCHANGE IN SONOMA COUNTY, INCLUDING REPLACING THE EXISTING TWO-LANE HEARN AVENUE OVERCROSSING WITH A NEW OVERCROSSING, AND MODIFYING THE SOUTHBOUND OFF-RAMP IN CITY |
| Location Description | IN SONOMA COUNTY. |
| QA Service Level | 1 (Verified on 09/23/2019) |
Sample Information
| Sample Taken Date | 11/25/2024 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 11/26/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 16 #10 Headed Bars with Lenton D14 terminators |
| The quantity of what the sample constitutes | 16 Bars | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Haynes |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 5105931179 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Martinez Steel Fresno | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S81-012-24 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 056524 | Head Manufacturer Lot Number(s) | U0155, M0226 |
| Rebar Size | #10 | Headed Bar Model Name | nVent LENTON TERMINATOR D14 |
| Size of Head | Full Size - 9x | Head Connection Type | Threaded |
| Head Shape | Circular | Rebar Manufacturer | Cascade |
| Head Manufacturer | ERICO International Corporation nVent | Head Fabricator | Martinez Steel Fresno |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9FW-18-01 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||