Sample Record
DIME Sample ID 2021-11-30-3
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Project Information
| Project Identifiers | Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-8.4 |
| Award Date | 11/30/2020 |
| Closeout Date | 12/12/2023 |
| Work Description | CONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/06/2020) |
Owner Lab
- CT HQ - QASI Los Angeles Field Office
Sample Information
| Sample Taken Date | 11/30/2021 | Sample Unique Key | 3 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 12/07/2021 | Sample type | Quality Assurance |
| A brief description of the sample | (4) #8 HRC 120 x 13'-2" | The quantity of what the sample constitutes | (16) #8 HRC 120 x 13'-2" |
| From where was the sample collected | Fabricator | 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 | HRC Fountain Valley | |
| Transportation Laboratory (TL) Number | L133-128-21 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| 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) | 4112178 | Head Manufacturer Lot Number(s) | 10010900121 |
| Rebar Size | #8 | Headed Bar Model Name | HRC 120 9FW1703 |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Square | Rebar Manufacturer | CMC Rebar |
| Head Manufacturer | HRC Fountain Valley | Head Fabricator | HRC Fountain Valley |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||