Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 99999 DEA: 0322222
QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown
DIME Sample ID: 2019-10-23-1
TL Number from the TL Form:
Sample Submitted By Organization: ZZCT - Sacramento DIME Development - AVS Testing Internal
Sample Organization Contact:
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 10/23/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/23/2019
The quantity of what the sample constitutes: 1 lot
A brief description of the sample: 555 T- heads
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 1
Head Manufacturer Lot Number(s): 1
Rebar Size: 8
Headed Bar Model Name: HRC 555
Size of Head: Full Size - 9x
Head Connection Type:
Head Shape: Circular
Rebar Manufacturer: CMC Rebar
Head Manufacturer: CMC HRC
Head Fabricator: CMC Rebar
Material Standard Code: ASTM A706
Headed Bar Unique ID:
DIME Test ID: 2019-10-23-1-1
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Submitted By Organization: ZZCT - Sacramento DIME Development - AVS Testing Internal
Organization Address: 123 Street,
Organization City: Sacramento
Organization State: CA
Organization Zipcode:
Organization Email:
Organization Phone:
Data has not been verified.
