Sample Record

DIME Sample ID 2021-11-04-3

Project Information

Project IdentifiersProject ID: 214639
DEA: 040A7704
EFIS: 0400020155
DIST-CO-RTE-PM04-ALA-80-6.4/6.7
Award DateNot set
Closeout Date03/18/2025
Work DescriptionModify Gilman St IC in Berkeley
Location DescriptionBoth sides of I-80/Gilman St intersections
QA Service Level1 (Verified on 01/24/2020)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date11/04/2021 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sample#5 HRC 120 T Head The quantity of what the sample constitutes11 (Lot 1)
From where was the sample collectedFabricator First name of sampler or witnessed byBrian
Last name of sampler or witnessed byMurray Title of samplerQA Inspector
Telephone number of sampler213 435 4055 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameHRC Fountain Valley
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL140-244-21
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)41111735 Head Manufacturer Lot Number(s)10021114224
Rebar Size#5 Headed Bar Model NameHRC 120
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeSquare Rebar ManufacturerCMC Rebar
Head ManufacturerNucor Head FabricatorNucor
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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