Sample Record

Owner Lab

  • CT HQ - Vallejo Field Laboratory

DIME Sample ID 2025-07-28-8

Project Information

Project IdentifiersProject ID: 994928
DEA: 010F9704
EFIS: 0116000111
DIST-CO-RTE-PM01-MEN-162-29.18/30.27
Award Date04/19/2023
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 07/18/2023)

Sample Information

Sample Taken Date07/28/2025 Sample Unique Key8
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 testingNot set
Sample typeVerification A brief description of the sampleHCR Couplers
The quantity of what the sample constitutes150 From where was the sample collectedManufacturer
First name of sampler or witnessed byKevin Last name of sampler or witnessed byCarpenter
Title of samplerQA Telephone number of sampler4156081742
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBuild-Tec Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB24-110-25 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)1234 Head Manufacturer Lot Number(s)123
Rebar Size#11 Headed Bar Model NameHRC670L
Size of HeadReduced Size - 4x Head Connection TypeThreaded
Head ShapeCircular Rebar ManufacturerHRC
Head ManufacturerHRC Head FabricatorHRC
Material Standard CodeASTM A706 Headed Bar Unique ID9FW-17-02

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments