DIME - Sample Record for DIME Sample ID 2021-04-29-1

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Sample Record

Owner Lab

CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2021-04-29-1

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Project Information

Project Identifiers	Project ID: 215063 DEA: 032F5704 EFIS: 0300020615
DIST-CO-RTE-PM	03-PLA-80-46.3/63.5
Award Date	09/23/2020
Closeout Date	08/11/2023
Work Description	Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay)
Location Description	Not set
QA Service Level	1 (Verified on 11/16/2020)

Sample Information

Sample Taken Date	04/29/2021	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	04/30/2021
Sample type	Quality Assurance	A brief description of the sample	HRC 120 #5 headed rebar with hook
The quantity of what the sample constitutes	2322	From where was the sample collected	Fabricator
First name of sampler or witnessed by	Steven	Last name of sampler or witnessed by	Hall
Title of sampler	CT METS QA INSPECTOR	Telephone number of sampler	6466327821
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Headed Reinforcement Corp, Fountain Valley, CA	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form	L134-062-21	Structure unique identifier
Structure name

Material Information

Material Type	SMTL TM5 - Headed Bars	Production or Authorization Testing	Production Testing
Rebar Heat Number(s)	2120765	Head Manufacturer Lot Number(s)	1, 4, 9 and 14
Rebar Size	#5	Headed Bar Model Name	HRC 120
Size of Head	Full Size - 9x	Head Connection Type	Friction Weld
Head Shape	Square	Rebar Manufacturer	Vinton Steel
Head Manufacturer	Headed Reinforcement Corp	Head Fabricator	Headed Reinforcement Corp
Material Standard Code	ASTM A706	Headed Bar Unique ID	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2021-04-29-1-1	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	bewing, CT HQ - Sacramento Structural Materials Testing Laboratory	05/04/2021	bewing	Yes	05/05/2021	Ok necking
2021-04-29-1-2	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	bewing, CT HQ - Sacramento Structural Materials Testing Laboratory	05/04/2021	bewing	Yes	05/05/2021	Ok necking
2021-04-29-1-3	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	bewing, CT HQ - Sacramento Structural Materials Testing Laboratory	05/04/2021	bewing	Yes	05/05/2021	Ok necking
2021-04-29-1-4	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	bewing, CT HQ - Sacramento Structural Materials Testing Laboratory	05/04/2021	bewing	Yes	05/05/2021	Ok necking
2021-04-29-1-5	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	bewing, CT HQ - Sacramento Structural Materials Testing Laboratory	05/04/2021	bewing	Yes	05/05/2021	Ok necking
2021-04-29-1-6	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	bewing, CT HQ - Sacramento Structural Materials Testing Laboratory	05/04/2021	bewing	Yes	05/05/2021	Ok necking
2021-04-29-1-7	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	bewing, CT HQ - Sacramento Structural Materials Testing Laboratory	05/04/2021	bewing	Yes	05/05/2021	Ok necking
2021-04-29-1-8	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	bewing, CT HQ - Sacramento Structural Materials Testing Laboratory	05/04/2021	bewing	Yes	05/05/2021	Ok necking
2021-04-29-1-9	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	bewing, CT HQ - Sacramento Structural Materials Testing Laboratory	05/04/2021	bewing	Yes	05/05/2021	Ok necking
2021-04-29-1-10	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	bewing, CT HQ - Sacramento Structural Materials Testing Laboratory	05/04/2021	bewing	Yes	05/05/2021	Ok necking

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2021-04-29-1-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-29-1-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-29-1-3 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-29-1-4 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-29-1-5 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-29-1-6 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-29-1-7 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-29-1-8 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-29-1-9 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-29-1-10 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-29-1-11 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-29-1-12 ASTM A970-15e1 (Verified)