Sample Record

DIME Sample ID 2019-04-25-2

Project Information

Project IdentifiersProject ID: 213526
DEA: 044G9204
EFIS: 0413000062
DIST-CO-RTE-PM04-NAP-121-PM6.4
Award Date09/20/2018
Closeout Date10/31/2019
Work DescriptionREPAIR CORRODED STEEL REINFORCEMENT AND CONCRETE SPALLS
Location DescriptionNAPA COUNTY ON ROUTE 121 AT TULUCAY CREEK BRIDGE
QA Service Level1 (Verified on 08/19/2019)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date04/25/2019 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing04/29/2019 Sample typeQuality Control
A brief description of the sample#8 HRC 555T-headed Bars The quantity of what the sample constitutes2 lots (240 pcs)
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 ID2019-04-25-1 The fabricator/manufacturer/facility nameHRC
Transportation Laboratory (TL) NumberUnknown Inspector Lot Number from the Transportation Laboratory (TL) FormL123-024-19
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)033631 Head Manufacturer Lot Number(s)82624781
Rebar Size8 Headed Bar Model NameHRC 555 T Heads
Size of HeadReduced Size - 4x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerCMC Steel California
Head ManufacturerHRC 555 T Heads Head FabricatorHRC
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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