Sample Record

DIME Sample ID 2019-05-17-2

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 Date05/17/2019 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing05/17/2019 Sample typeQuality Control
A brief description of the sample#6 T-Head bars The quantity of what the sample constitutes10 lots
From where was the sample collectedFabricator First name of sampler or witnessed byRaymond
Last name of sampler or witnessed byAludino Title of samplerQuality Assurance Inspector
Telephone number of sampler9167300054 Laboratory sample identification
Linked DIME Sample IDN/A The fabricator/manufacturer/facility nameHRC
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL129-001-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)9000312 Head Manufacturer Lot Number(s)B1127341
Rebar Size6 Headed Bar Model NameHRC 150
Size of HeadReduced Size - 4x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerCMC
Head ManufacturerNucor Head FabricatorHRC
Material Standard CodeASTM A615 Headed Bar Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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