Sample Record
Owner Lab
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2017-07-25-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211616 DEA: 050G0404 EFIS: 0500020020 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO,MON-101-63.2/R69.3,R0.0/R1.9 |
| Award Date | 11/16/2016 |
| Closeout Date | 10/29/2020 |
| Work Description | ROADWAY REHABILITATION AND BRIDGE CONSTRUCTION. |
| Location Description | SAN LUIS OBISPO AND MONTERY COUNTIES NEAR PASO ROBLES FROM 0.5 MILE SOUTH OF SAN MARCOS CREEK BRIDGE TO 0.2 MILE SOUTH OF BRADLEY ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 09/15/2016) |
Sample Information
| Sample Taken Date | 07/25/2017 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 07/25/2017 |
| Sample type | Quality Assurance | A brief description of the sample | Headed Rebar |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Tory | Last name of sampler or witnessed by | McLaurin |
| Title of sampler | QA | Telephone number of sampler | 6616185971 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | xx | Head Manufacturer Lot Number(s) | xxx |
| Rebar Size | #10 / 32mm | Headed Bar Model Name | xx |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Square | Rebar Manufacturer | xxxxx |
| Head Manufacturer | xxx | Head Fabricator | xxx |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||