Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2020-04-10-6

Project Information

Project IdentifiersProject ID: 213411
DEA: 030H10U4
EFIS: 0317000246
DIST-CO-RTE-PM03-SAC-5-9.7/24.9
Award Date05/01/2019
Closeout Date02/22/2024
Work DescriptionNot set
Location DescriptionConstruction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct
QA Service Level1 (Verified on 07/19/2019)

Sample Information

Sample Taken Date04/10/2020 Sample Unique Key6
Date that the sample was received by the laboratory/organization performing the testing04/22/2020 Sample typeQuality Control
A brief description of the sampleHRC 555 Headed Reinforcement The quantity of what the sample constitutes440
From where was the sample collectedFabricator First name of sampler or witnessed bySherri
Last name of sampler or witnessed byBrannon Title of samplerMETS QA inspector
Telephone number of sampler916-826-6371 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCamblin Steel Service, Benicia
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB22-017-20
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingAuthorization Testing
Rebar Heat Number(s)073120 Head Manufacturer Lot Number(s)x
Rebar Size#10 Headed Bar Model NameHRC 555
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerCascade Steel
Head Manufacturerx Head Fabricatorx
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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