Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-10-30-2
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212743 DEA: 030H26U4 EFIS: 0317000247 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-65-R5.0/R6.6 |
| Award Date | 02/14/2018 |
| Closeout Date | 10/21/2022 |
| Work Description | NORTHBOUND WIDENING AND RAMP IMPROVEMENTS. |
| Location Description | PLACER COUNTY IN AND NEAR ROSEVILLE AND ROCKLIN FROM 0.1 MILE SOUTH OF EAST ROSEVILLE VIADUCT TO 0.5 MILE SOUTH OF PLEASANT GROVE BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 12/18/2017) |
Sample Information
| Sample Taken Date | 10/30/2018 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 10/30/2018 |
| Sample type | Quality Assurance | A brief description of the sample | HRC 120 T-Heads |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | QA | Telephone number of sampler | 702 917-2503 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Headed Reinforcement Corp, Fountain Valley, CA | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-207-18 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 65032407 | Head Manufacturer Lot Number(s) | B1125290 |
| Rebar Size | 7 | Headed Bar Model Name | HRC T120 |
| Size of Head | Reduced Size - 4x | Head Connection Type | Friction Weld |
| Head Shape | Square | Rebar Manufacturer | Gerdau |
| Head Manufacturer | Nucor | Head Fabricator | Nucor |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-10-30-2-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2018-10-30-2-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2018-10-30-2-3 ASTM A970-15e1 (Verified)
