Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-10-05-6
Project Information
| Project Identifiers | Project ID: 993253 DEA: 033F0604 EFIS: 0312000052 |
|---|---|
| DIST-CO-RTE-PM | 03-GLE-162-76.3/78.6 |
| Award Date | 02/02/2022 |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 10/05/2023 | Sample Unique Key | 6 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 10/06/2023 |
| Sample type | Department Acceptance | A brief description of the sample | #6 HRC 555 Double Headed Rebar |
| The quantity of what the sample constitutes | 150 Heads | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Muser |
| Title of sampler | QA | Telephone number of sampler | 916 517-0532 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S19-560-23 | 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) | 4131711 | Head Manufacturer Lot Number(s) | NA |
| Rebar Size | #6 | Headed Bar Model Name | HRC 555 |
| Size of Head | Reduced Size - 4x | Head Connection Type | Forged |
| Head Shape | Circular | Rebar Manufacturer | CMC Arizona |
| Head Manufacturer | HRC | Head Fabricator | CMC Fresno |
| 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. | |||
