Sample Record

DIME Sample ID 2019-04-05-5

Project Information

Project IdentifiersProject ID: 213469
DEA: 024C40V4
EFIS: 0218000125
DIST-CO-RTE-PM02-SHA-5-R3.8/R11.7
Award Date11/06/2018
Closeout Date08/16/2023
Work DescriptionWIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location DescriptionSHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date04/05/2019 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testing04/08/2019 Sample typeQuality Control
A brief description of the sample#5 T-Head bars The quantity of what the sample constitutes4 lots
From where was the sample collectedFabricator First name of sampler or witnessed byOsiel
Last name of sampler or witnessed byRamirez Title of samplerQAI
Telephone number of sampler5599740870 Laboratory sample identification2428
Linked DIME Sample IDN/A The fabricator/manufacturer/facility nameHRC
Transportation Laboratory (TL) NumberC9469885 Inspector Lot Number from the Transportation Laboratory (TL) FormL123-019-19
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)6503314402 Head Manufacturer Lot Number(s)B1126696
Rebar Size5 Headed Bar Model NameNucor
Size of HeadReduced Size - 4x Head Connection TypeFriction Weld
Head ShapeSquare Rebar ManufacturerCMC
Head ManufacturerNucor Head FabricatorNucor
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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