Sample Record for 2020-08-28-6
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214176 DEA: 033F0904 EFIS: 0312000056
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC,SJ-5,160-Var
Work Description: REPLACE STRUCTURAL CONCRETE BRIDGES, PLACE CIDH & CISS CONCRETE PILES.
Location Description: SACRAMENTO COUNTY AT NORTH SACRAMENTO UNDERCROSSING AND SACRAMENTO RIVER BRIDGE AND IN SAN JOAQUIN COUNTY AT MOKELUMNE RIVER BRIDGE
Contractor Name: Myers & Sons Construction
Contractor Address: 4600 Northgate Boulevard, Suite 100, Sacramento, CA 95834-1121
Resident Engineer: Mohssen Ghassemi Structure Rep.: Chuck Pazzi
Sample Information
DIME Sample ID: 2020-08-28-6
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: 08/28/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 4
A brief description of the sample: Bar End Anchor Lot 2
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Jamac Steel
Material Information
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 3096948
Head Manufacturer Lot Number(s): 5076
Rebar Size: #8
Headed Bar Model Name: Terminator
Size of Head: Full Size - 9x
Head Connection Type: Threaded
Head Shape: Circular
Rebar Manufacturer: CMC Steel California
Head Manufacturer: Dextra America
Head Fabricator: Jamac Steel
Material Standard Code: ASTM A706
Headed Bar Unique ID:
Test Results
