Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-01-21-22
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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 | 01/21/2025 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 01/24/2025 |
| Sample type | Quality Assurance | A brief description of the sample | #10 Erico Male Taper w/D14 Terminator |
| The quantity of what the sample constitutes | 8 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Levi | Last name of sampler or witnessed by | Pivoda |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Martinez Steel | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 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 / A1549 |
| Rebar Size | #10 | Headed Bar Model Name | nVent LENTON Ultimate Series MT12 D14 |
| Size of Head | Full Size - 9x | Head Connection Type | |
| Head Shape | Circular | Rebar Manufacturer | Cascade |
| Head Manufacturer | Erico Lenton | Head Fabricator | Eaton Steel |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9FW-18-02 |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-01-21-22-1 ASTM A970-18 (Verified)