Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2024-07-02-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994751 DEA: 010C5004 EFIS: 0112000292 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-36-11.3/34.6 |
| Award Date | 03/02/2023 |
| Closeout Date | Not set |
| Work Description | Project Name: Bridge Rail Replacement - 3 Bridges |
| Location Description | Hely Creek, Little Larabee Creek and Butte Creek Bridge. |
| QA Service Level | 1 (Verified on 04/27/2023) |
Sample Information
| Sample Taken Date | 07/02/2024 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 Assurance | A brief description of the sample | x |
| The quantity of what the sample constitutes | 40 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Sherri | Last name of sampler or witnessed by | Brannon |
| Title of sampler | ASI | Telephone number of sampler | 9168266371 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Steel Group, Napa, CA | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B22-028-24 | 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) | 3500032332 | Head Manufacturer Lot Number(s) | 3500032332 |
| Rebar Size | #11 | Headed Bar Model Name | HRC T Heads |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Circular | Rebar Manufacturer | Nucor |
| Head Manufacturer | Pacific Steel Group Napa | Head Fabricator | Pacific Steel Group Napa |
| 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. | |||