Sample Record

DIME Sample ID 2024-07-02-3

Project Information

Project IdentifiersProject ID: 994751
DEA: 010C5004
EFIS: 0112000292
DIST-CO-RTE-PM01-HUM-36-11.3/34.6
Award Date03/02/2023
Closeout DateNot set
Work DescriptionProject Name: Bridge Rail Replacement - 3 Bridges
Location DescriptionHely Creek, Little Larabee Creek and Butte Creek Bridge.
QA Service Level1 (Verified on 04/27/2023)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date07/02/2024 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the samplex The quantity of what the sample constitutes40
From where was the sample collectedFabricator First name of sampler or witnessed bySherri
Last name of sampler or witnessed byBrannon Title of samplerASI
Telephone number of sampler9168266371 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility namePacific Steel Group, Napa, CA
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB22-028-24
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)3500032332 Head Manufacturer Lot Number(s)3500032332
Rebar Size#11 Headed Bar Model NameHRC T Heads
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerNucor
Head ManufacturerPacific Steel Group Napa Head FabricatorPacific Steel Group Napa
Material Standard CodeASTM A706 Headed Bar Unique ID4FG-17-01

Submitted Tests

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