Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-03-15-1
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Project Information
| Project Identifiers | Project ID: 214176 DEA: 033F0904 EFIS: 0312000056 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC,SJ-5,160-Var |
| Award Date | 10/10/2019 |
| Closeout Date | 10/27/2022 |
| Work Description | REPLACE STRUCTURAL CONCRETE BRIDGES, PLACE CIDH & CISS CONCRETE PILES. |
| Location Description | SACRAMENTO COUNTY AT NORTH SACRAMENTO UNDERCROSSING AND SACRAMENTO RIVER BRIDGE AND IN SAN JOAQUIN COUNTY AT MOKELUMNE RIVER BRIDGE |
| QA Service Level | 1 (Verified on 05/29/2019) |
Sample Information
| Sample Taken Date | 03/15/2021 | 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 | 03/17/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #8 Dextra Bartech End Anchors |
| The quantity of what the sample constitutes | 20 assemblies | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Jane | Last name of sampler or witnessed by | Lillard |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 9162918042 |
| 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 | S52-009-21 lot 3 | 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) | 4102040 | Head Manufacturer Lot Number(s) | 5076 |
| Rebar Size | #8 | Headed Bar Model Name | 8 Bartech End Anchor |
| Size of Head | Full Size - 9x | Head Connection Type | Threaded |
| Head Shape | Circular | Rebar Manufacturer | CMC Arizona |
| Head Manufacturer | Dextra America | Head Fabricator | Dextra America |
| 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: 2021-03-15-1-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-03-15-1-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-03-15-1-3 ASTM A970-15e1 (Verified)