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Sample Record for 2020-04-10-6

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Project Information

Project ID: 213411 DEA: 030H10U4 EFIS: 0317000246 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-5-9.7/24.9
Work Description:
Location Description: Construction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct
Contractor Address: 400 Sunrise Ave. Ste. #300, Roseville, CA 95661
Resident Engineer: Daniel Tecle Structure Rep.: Pha Tran

Sample Information

DIME Sample ID: 2020-04-10-6
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 04/10/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/22/2020
The quantity of what the sample constitutes: 440
A brief description of the sample: HRC 555 Headed Reinforcement
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Camblin Steel Service, Benicia

Material Information

Production or Authorization Testing: Authorization Testing
Rebar Heat Number(s): 073120
Head Manufacturer Lot Number(s): x
Rebar Size: #10
Headed Bar Model Name: HRC 555
Size of Head: Reduced Size - 4x
Head Connection Type: Forged
Head Shape: Circular
Rebar Manufacturer: Cascade Steel
Head Manufacturer: x
Head Fabricator: x
Material Standard Code: ASTM A706
Headed Bar Unique ID:

Test Results