Sample Record

DIME Sample ID 2017-11-08-1

Project Information

Project IdentifiersProject ID: 211573
DEA: 050Q6004
EFIS: 0500020290
DIST-CO-RTE-PM05-SCR-17-1.0/1.4
Award Date09/30/2016
Closeout Date06/04/2019
Work DescriptionACACIA ERADICATION AND SLOPE STABILIZATION WITH ROADWAY WORK.
Location DescriptionSANTA CRUZ COUNTY NEAR SANTA CRUZ FROM 0.2 MILE NORTH OF PASATIEMPO OVERCROSSING TO BEULAH PARK UNDERCROSSING
QA Service Level1 (Verified on 12/14/2016)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date11/08/2017 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing11/09/2017 Sample typeVerification
A brief description of the sampleA615 Gr.75 HDG threaded bar w/A108 HDG nut The quantity of what the sample constitutes2
From where was the sample collectedFabricator First name of sampler or witnessed byDavid
Last name of sampler or witnessed byFlygare Title of samplerCA METS QA Inspector
Telephone number of sampler801-669-2984 Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameWilliams Form Eng
Transportation Laboratory (TL) NumberC719148 Inspector Lot Number from the Transportation Laboratory (TL) FormB76-186
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)NF15102802 Head Manufacturer Lot Number(s)none
Rebar Size6 Headed Bar Model Namenone
Size of HeadFull Size - 9x Head Connection TypeThreaded
Head ShapeCircular Rebar ManufacturerNucor
Head Manufacturermittal Head Fabricatornone
Material Standard CodeASTM A615 Headed Bar Unique IDNot set

Submitted Tests

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