Sample Record

DIME Sample ID 2021-12-17-2

Project Information

Project IdentifiersProject ID: 214579
DEA: 010B0904
EFIS: 0100020444
DIST-CO-RTE-PM01-DN-101-8.2/8.7
Award Date04/21/2020
Closeout Date12/02/2025
Work DescriptionPanther Creek & Hunter Creek Bridges
Location DescriptionDEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
QA Service Level1 (Verified on 03/02/2020)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date12/17/2021 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing12/24/2021 Sample typeQuality Control
A brief description of the sample#6 Headed Bar The quantity of what the sample constitutes8 of 244
From where was the sample collectedFabricator First name of sampler or witnessed byHitesh
Last name of sampler or witnessed byPatel Title of samplerQuality Assurance Inspector
Telephone number of sampler9168691602 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) FormL131-066-21
Structure unique identifier01-0085 Structure namePanther Creek and Hunter Creek
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4111039 Head Manufacturer Lot Number(s)1 and 2
Rebar Size#6 Headed Bar Model NameHRC 150 Heat No 10020904124
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerCMC
Head ManufacturerHRC Head FabricatorHRC
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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