Sample Record for 2017-09-27-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 210618 DEA: 06342534 EFIS: 0600000382 COOP: 061616A2
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-180-R74.1/R78.6
Work Description: CONSTRUCT SEGMENT 3 OF KINGS CANYON EXPRESSWAY
Location Description: FRESNO COUNTY ABOUT 8.4 MILES EAST OF FRESNO FROM 0.7 MILE WEST OF SMITH AVENUE TO 0.7 MILE EAST OF FRANKWOOD AVENUE
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: Justin Kimura Structure Rep.: Michael Trinh
Sample Information
DIME Sample ID: 2017-09-27-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 09/27/2017
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1 lot of 92
A brief description of the sample: Headed Rebar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Harris Rebar Nucor
Material Information
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): SE17100746
Head Manufacturer Lot Number(s): 3643
Rebar Size: #10
Headed Bar Model Name: Bartec
Size of Head: Full Size - 9x
Head Connection Type: Threaded
Head Shape: Circular
Rebar Manufacturer: Nucor
Head Manufacturer: Dextra America
Head Fabricator: Harris Rebar
Material Standard Code: ASTM A706
Headed Bar Unique ID:
Test Results
