Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-11-01-30
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994673 DEA: 033F0704 EFIS: 0312000054 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-51-2.0/3.5 |
| Award Date | 08/17/2023 |
| Closeout Date | Not set |
| Work Description | American River Bridge Rehabilitation |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 05/15/2023) |
Sample Information
| Sample Taken Date | 11/01/2023 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 11/02/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Headed Rebar |
| The quantity of what the sample constitutes | 220 | From where was the sample collected | Source |
| First name of sampler or witnessed by | EDWARD | Last name of sampler or witnessed by | LEACH |
| Title of sampler | Telephone number of sampler | 7072903887 | |
| 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 | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 9000126 | Head Manufacturer Lot Number(s) | M0133 |
| Rebar Size | #8 | Headed Bar Model Name | nVent Lenton Terminator D14 |
| Size of Head | Reduced Size - 4x | Head Connection Type | Taper Threaded |
| Head Shape | Circular | Rebar Manufacturer | CMC Rebar |
| Head Manufacturer | Erico | Head Fabricator | Eaton Steel |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9TT-17-02 |
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. | |||