Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2020-03-20-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212657 DEA: 024G5004 EFIS: 0214000031 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-299-1.9-2.3 |
| Award Date | 10/01/2019 |
| Closeout Date | 11/24/2021 |
| Work Description | VIADUCT WIDENING |
| Location Description | TRINITY COUNTY NEAR SALYER FROM 0.1 MILE EAST TO 0.6 MILE EAST OF WHITE HOUSE GULCH ROAD |
| QA Service Level | 1 (Verified on 09/04/2018) |
Sample Information
| Sample Taken Date | 03/20/2020 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 03/27/2020 |
| Sample type | Department Acceptance | A brief description of the sample | #10 Button Heads |
| The quantity of what the sample constitutes | 20 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Muser |
| Title of sampler | QA | Telephone number of sampler | 9165170532 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Camblin Steel | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S19-080-20 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 9000755 | Head Manufacturer Lot Number(s) | A182386 |
| Rebar Size | 10 | Headed Bar Model Name | BNX Buttonhead |
| Size of Head | Full Size - 9x | Head Connection Type | Crimped Head |
| Head Shape | Circular | Rebar Manufacturer | CMC Rancho Cucamonga |
| Head Manufacturer | Barsplice | Head Fabricator | Barsplice |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-03-20-1-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2020-03-20-1-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2020-03-20-1-3 ASTM A970-15e1 (Verified)
