Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2023-05-03-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993279 DEA: 010E0904 EFIS: 0113000123 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-20-33.3/34.4 |
| Award Date | 05/06/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310) |
| Location Description | MENDOCINO 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 Level | 1 (Verified on 10/04/2021) |
Sample Information
| Sample Taken Date | 05/03/2023 | Sample Unique Key | 19 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Control | A brief description of the sample | #9 Headed rebar |
| The quantity of what the sample constitutes | 21 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 510-376-7155 cell |
| Laboratory sample identification | lot 4 | Linked DIME Sample ID | B9-069-23 |
| The fabricator/manufacturer/facility name | CMC Rebar Fresno | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B9-071-23 | Structure unique identifier | 10-0310 |
| Structure name | Russian River OH | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 4124593 | Head Manufacturer Lot Number(s) | Release 911 HT |
| Rebar Size | #9 | Headed Bar Model Name | HRC555 |
| Size of Head | Reduced Size - 4x | Head Connection Type | Forged |
| Head Shape | Circular | Rebar Manufacturer | CMC |
| Head Manufacturer | HRC | Head Fabricator | CMC HRC |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 4FG-17-01 |
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. | |||