Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2018-08-09-26
TL Number from the TL Form: NA
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Acceptance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 08/09/2018
Date that the sample was received by the laboratory/organization performing the testing: 05/06/2019
The quantity of what the sample constitutes: 4
A brief description of the sample: Headed Bars
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HRC
Production or Authorization Testing: Authorization Testing
Rebar Heat Number(s): 65029886
Head Manufacturer Lot Number(s): 14-16-09-01
Rebar Size: 14
Headed Bar Model Name: HRC670L
Size of Head: Reduced Size - 4x
Head Connection Type: Threaded
Head Shape: Circular
Rebar Manufacturer: Gerdau
Head Manufacturer: HRC
Head Fabricator: HRC
Material Standard Code: ASTM A706
Headed Bar Unique ID:
