Sample Record

DIME Sample ID 2021-02-01-7

Project Information

Project IdentifiersProject ID: 214579
DEA: 010B0904
EFIS: 0100020444
DIST-CO-RTE-PM01-DN-101-8.2/8.7
Award Date04/21/2020
Closeout Date12/02/2025
Work DescriptionPanther Creek & Hunter Creek Bridges
Location DescriptionDEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
QA Service Level1 (Verified on 03/02/2020)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date02/01/2021 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample#6 HRC 150 T Heads Lot no. 5 The quantity of what the sample constitutes4
From where was the sample collectedFabricator First name of sampler or witnessed byArthur
Last name of sampler or witnessed byPeterson Title of samplerQA Inspector
Telephone number of sampler7073428602 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameHRC Fountain Valley
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL110-014-21
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)6018658 Head Manufacturer Lot Number(s)B1132429
Rebar Size#6 Headed Bar Model NameHRC 150 T Heads
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerCMC Steel Oklahoma
Head ManufacturerNucor Head FabricatorHRC Fountain Valley
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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