Sample Record

DIME Sample ID 2019-06-07-4

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 Date06/07/2019 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testing06/12/2019 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 byHitesh
Last name of sampler or witnessed byPatel Title of samplerQuality Assurance Inspector
Telephone number of sampler9168691602 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameHRC
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL131-117-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingAuthorization Testing
Rebar Heat Number(s)4086243 Head Manufacturer Lot Number(s)B1128394 Heat100795992
Rebar Size6 Headed Bar Model NameHRC 150
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerCMC Arizona
Head ManufacturerNucor Head FabricatorHRC
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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