Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-06-18-2
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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 | 06/18/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 06/23/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #10 HRC 120 T- Heads |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
| Title of sampler | Telephone number of sampler | 7073428602 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L110-086-21 | 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) | 4108370 | Head Manufacturer Lot Number(s) | 10010819824 |
| Rebar Size | #10 | Headed Bar Model Name | HRC 120 T Heads |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Square | Rebar Manufacturer | CMC Steel Arizona |
| Head Manufacturer | Nucor | Head Fabricator | HRC Fountain Valley |
| 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: 2021-06-18-2-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-06-18-2-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-06-18-2-3 ASTM A970-15e1 (Verified)