Sample Record for 2021-02-09-3
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214529 DEA: 034H1104 EFIS: 0318000177
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA,NEV-80-Var
Work Description: PLACE CONCRETE GUTTERS AND CULVERTS
Location Description: PLACER AND NEVADA COUNTIES IN AND NEAR KINGVALE AT VARIOUS LOCATIONS
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 1900 Glendale Ave, Sparks, NV 89431
Resident Engineer: Tad Sampson Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2021-02-09-3
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: 02/09/2021
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 300
A brief description of the sample: #8 HRC 555
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Steel Group
Material Information
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 3500011782
Head Manufacturer Lot Number(s): 3500011782
Rebar Size: #8
Headed Bar Model Name: HRC 555
Size of Head: Reduced Size - 4x
Head Connection Type: Friction Weld
Head Shape: Circular
Rebar Manufacturer: Nucor
Head Manufacturer: HRC
Head Fabricator: Pacific Steeel Group
Material Standard Code: ASTM A706
Headed Bar Unique ID:
Test Results
