Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-10-08-2
Project Information
| Project Identifiers | Project ID: 214511 DEA: 010E0004 EFIS: 0113000091 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-84.4/84.8 |
| Award Date | 01/29/2020 |
| Closeout Date | 11/22/2023 |
| Work Description | BRIDGE RAIL REPLACEMENT. |
| Location Description | HUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE |
| QA Service Level | 1 (Verified on 11/13/2019) |
Sample Information
| Sample Taken Date | 10/08/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 10/15/2021 |
| Sample type | Quality Assurance | A brief description of the sample | (26) #6 HRC 555 Reduced Size |
| The quantity of what the sample constitutes | (4) #6 HRC 555 Reduced Size | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Rigoberto | Last name of sampler or witnessed by | Marin |
| Title of sampler | Telephone number of sampler | 9515000685 | |
| 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 | L133-118-21 | 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) | 4111946 | Head Manufacturer Lot Number(s) | Lot 1 |
| Rebar Size | #6 | Headed Bar Model Name | Type 555 4FG 17 01 |
| Size of Head | Reduced Size - 4x | Head Connection Type | Forged |
| Head Shape | Circular | Rebar Manufacturer | CMC Rebar |
| Head Manufacturer | Camblin Steel Service | Head Fabricator | HRC |
| 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: 2021-10-08-2-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-10-08-2-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-10-08-2-3 ASTM A970-15e1 (Verified)
