Sample Record

DIME Sample ID 2019-08-07-7

Project Information

Project IdentifiersProject ID: 212743
DEA: 030H26U4
EFIS: 0317000247
DIST-CO-RTE-PM03-PLA-65-R5.0/R6.6
Award Date02/14/2018
Closeout Date10/21/2022
Work DescriptionNORTHBOUND WIDENING AND RAMP IMPROVEMENTS.
Location DescriptionPLACER 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 Level1 (Verified on 12/18/2017)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date08/07/2019 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testing08/12/2019 Sample typeQuality Control
A brief description of the sample#7 T-Head bars The quantity of what the sample constitutes1 Lot
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) FormL131-184-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4087576 Head Manufacturer Lot Number(s)B1125290
Rebar Size5 Headed Bar Model NameHRC 120
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerCMC Steel Arizona
Head ManufacturerUnknown Head FabricatorHRC
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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