Sample Record
Owner Labs
- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2026-07-16-16
Project Information
| Project Identifiers | Project ID: 1001123 DEA: 051H4704 EFIS: 0516000078 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-9-9-13.6,15.5 |
| Award Date | 09/05/2025 |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGES AND INSTALL MGS. |
| Location Description | SANTA CRUZ COUNTY NEAR BOULDER CREEK AT SAN LORENZO RIVER BRIDGE AND AT KINGS CREEK BRIDGE |
| QA Service Level | 1 (Verified on 04/10/2025) |
Sample Information
| Sample Taken Date | 07/16/2026 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 07/22/2026 |
| Sample type | Quality Assurance | A brief description of the sample | #8 ASTM A706 Gr. 60 HRC 555 Headed Rebar |
| The quantity of what the sample constitutes | 4th Lot | 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 | CMC - Tracy | 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) | 9013981 | Head Manufacturer Lot Number(s) | 4 |
| Rebar Size | #8 | Headed Bar Model Name | Type 555 |
| Size of Head | Reduced Size - 4x | Head Connection Type | |
| Head Shape | Circular | Rebar Manufacturer | CMC Steel Arizona |
| Head Manufacturer | Headed Reinforcement Corp | Head Fabricator | CMC Rebar Tracy |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 4FG-17-01 |
Submitted Tests
Test File Attachments
DIME Test ID: 2026-07-16-16-1 ASTM A970-18 (Verified)
