Sample Record

DIME Sample ID 2023-02-13-17

Project Information

Project IdentifiersProject ID: 993279
DEA: 010E0904
EFIS: 0113000123
DIST-CO-RTE-PM01-MEN-20-33.3/34.4
Award Date05/06/2022
Closeout Date04/22/2026
Work DescriptionCONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310)
Location DescriptionMENDOCINO COUNTY NEAR UKIAH FROM 0.3 MILE WEST OF RUSSIAN RIVER BRIDGE AND OVERHEAD TO 0.3 MILE EAST OF COUNTY ROAD 144
QA Service Level1 (Verified on 10/04/2021)

Owner Lab

  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date02/13/2023 Sample Unique Key17
Date that the sample was received by the laboratory/organization performing the testing02/13/2023 Sample typeQuality Assurance
A brief description of the sample#9 Headed Reinforcement The quantity of what the sample constitutes42
From where was the sample collectedFabricator First name of sampler or witnessed byDuben
Last name of sampler or witnessed byDuckworth Title of samplerQA
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC Rebar
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4124602 Head Manufacturer Lot Number(s)2
Rebar Size#9 Headed Bar Model Name555
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerCMC Rebar
Head ManufacturerCMC Rebar Head FabricatorCMC Rebar
Material Standard CodeASTM A706 Headed Bar Unique ID4FG-17-01

Submitted Tests

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