Sample Record

DIME Sample ID 2021-10-08-3

Project Information

Project IdentifiersProject ID: 213099
DEA: 041A6614
EFIS: 0415000291
COOP: 042683A1
DIST-CO-RTE-PM04-MRN-101-8.4
Award Date11/30/2020
Closeout Date12/12/2023
Work DescriptionCONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location DescriptionNot set
QA Service Level1 (Verified on 11/06/2020)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/08/2021 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing10/08/2021 Sample typeQuality Assurance
A brief description of the sample(16) #8 HRC 555 The quantity of what the sample constitutes4
From where was the sample collectedManufacturer First name of sampler or witnessed byRigoberto
Last name of sampler or witnessed byMarin Title of sampler
Telephone number of sampler9515000685 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCamblin Steel Service
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL133-119-21
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)2121269 Head Manufacturer Lot Number(s)Lot 1
Rebar Size#8 Headed Bar Model NameHRC 555
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerVinton Steel
Head ManufacturerCamblin Steel Head FabricatorCamblin Steel
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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