Sample Record for 2022-12-21-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993118 DEA: 101C3304 EFIS: 1014000146
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-205-R4.6/R9.0
Work Description: Widening bridges, ramps and roadway. SR205 SMART CORRIDOR - PHASE 2
Location Description: On state highway in San Joaquin County in and near Tracy from Janney Overhead to 1.3 miles east of MacArthur Drive Overcrossing.
Contractor Name: Bay Cities Paving & Grading Inc.
Contractor Address: 1450 Civic Ct., Bldg B #400, Concord, CA 94520
Resident Engineer: Chris Hanson Structure Rep.: Ron Matin
Sample Information
DIME Sample ID: 2022-12-21-2
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: 12/21/2022
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 36
A brief description of the sample: #9 HRC 150 T Heads
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HRC
Material Information
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 6036543
Head Manufacturer Lot Number(s): 40000369222
Rebar Size: #9
Headed Bar Model Name: HRC 150
Size of Head: Full Size - 9x
Head Connection Type: Friction Weld
Head Shape: Circular
Rebar Manufacturer: CMC Steel Oklahoma
Head Manufacturer: Nucor
Head Fabricator: Nucor
Material Standard Code: ASTM A706
Headed Bar Unique ID: 9FW-17-04
Test Results
