Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-07-28-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994928 DEA: 010F9704 EFIS: 0116000111 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-162-29.18/30.27 |
| Award Date | 04/19/2023 |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 07/18/2023) |
Sample Information
| Sample Taken Date | 07/28/2025 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 07/30/2025 |
| Sample type | Verification | A brief description of the sample | HCR Couplers |
| The quantity of what the sample constitutes | 150 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Carpenter |
| Title of sampler | QA | Telephone number of sampler | 4156081742 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Build-Tex | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B24-105-25 | 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) | 3500039734 | Head Manufacturer Lot Number(s) | Unknown |
| Rebar Size | #9 | Headed Bar Model Name | HRC670L |
| Size of Head | Reduced Size - 4x | Head Connection Type | Threaded |
| Head Shape | Circular | Rebar Manufacturer | Nucor |
| Head Manufacturer | HRC | Head Fabricator | HRC |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 4FG-17-01 |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-07-28-6-1 ASTM A970-18 (Verified)