Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2024-01-17-2

Project Information

Project IdentifiersProject ID: 88888
DEA: SMTL-STOCK
EFIS: SMTL-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date01/17/2024 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing02/05/2024 Sample typeAuthorization
A brief description of the sampleHeaded Bars with Lenton DR14s The quantity of what the sample constitutes4 couplers
From where was the sample collectedFabricator First name of sampler or witnessed byStephen
Last name of sampler or witnessed byHaynes Title of samplerConsultant QA Inspector
Telephone number of sampler(510) 593-1179 Laboratory sample identification
Linked DIME Sample ID2014-01-17-1 The fabricator/manufacturer/facility namenVent Erico
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormS81-003-24
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingAuthorization Testing
Rebar Heat Number(s)6023254 Head Manufacturer Lot Number(s)U0147 / M0141
Rebar Size#9 Headed Bar Model NameLU28TDR14
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerCMC Steel Oklahoma
Head ManufacturernVent Erico Lenton Head FabricatornVent Erico Lenton
Material Standard CodeASTM A706 Headed Bar Unique ID9FW-18-01

Submitted Tests

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