Sample Record

DIME Sample ID 2023-05-03-7

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 Bay Area Field Office

Sample Information

Sample Taken Date05/03/2023 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sample#9 Headed rebar The quantity of what the sample constitutes75
From where was the sample collectedFabricator First name of sampler or witnessed byGreg
Last name of sampler or witnessed byThompson Title of samplerAssociate Steel Inspector
Telephone number of sampler510-376-7155 cell Laboratory sample identification
Linked DIME Sample IDB9-069-23 The fabricator/manufacturer/facility nameCMC Rebar Fresno
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB9-070-23
Structure unique identifier10-0310 Structure nameRussian River OH
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4124593 Head Manufacturer Lot Number(s)911HT
Rebar Size#9 Headed Bar Model NameHRC555
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerCMC
Head ManufacturerCMC HRC Head FabricatorCMC Fresno
Material Standard CodeASTM A706 Headed Bar Unique ID4FG-17-01

Submitted Tests

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