Print Report | Back to Sample Detail

Sample Record for 2020-03-18-8

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214190 DEA: 024G41U4 EFIS: 0218000047 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS,SIS-5-Var
Work Description: REPLACE REINFORCED CONCRETE BRIDGES & CONSTRUCT RETAINING WALL.
Location Description: SHASTA AND SISKIYOU COUNTIES ABOUT 7 MILES NORTH OF POLLARD FLAT FROM 0.8 MILE SOUTH TO 0.7 MILE NORTH OF SIMS ROAD UNDERCROSSING AND FROM 0.6 MILE SOUTH OF CASTLE CRAGS DRIVE UNDERCROSSING TO 0.2 MILE SOUTH OF SOUTH DUNSMUIR UNDERCROSSING
Contractor Name: J.F. Shea Construction, Inc.
Contractor Address: 17400 Clear Creek Road, Redding, CA 96001
Resident Engineer: Nicole Mallory Structure Rep.: Adam Scardaci

Sample Information

DIME Sample ID: 2020-03-18-8
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 03/18/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 16
A brief description of the sample: #10 Rebar with HRC 150 T Head
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HRC Fountain Valley

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 198519
Head Manufacturer Lot Number(s): Lot 1
Rebar Size: 10
Headed Bar Model Name: HRC 150 THeads
Size of Head: Full Size - 9x
Head Connection Type: Friction Weld
Head Shape: Square
Rebar Manufacturer: Cascade Steel
Head Manufacturer: HRC
Head Fabricator: HRC
Material Standard Code: ASTM A615
Headed Bar Unique ID:

Test Results