Sample Record for 2023-05-22-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993169 DEA: 050A0904 EFIS: 0513000028
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-156-R1.4/R2.0
Work Description: WIDEN REINFORCED STRUCTURAL CONCRETE BRIDGE & REPLACE BRIDGE RAILING.
Location Description: MONTEREY COUNTY IN AND NEAR CASTROVILLE FROM 0.3 MILE EAST OF ROUTE 156/183 SEPARATION TO 0.2 MILE EAST OF CASTROVILLE BOULEVARD
Contractor Name: Granite Rock (Bryan Jones)
Contractor Address: 5225 Hellyer Ave, Ste 220, San Jose, CA 95138
Resident Engineer: David Hopper Structure Rep.: Dean Russu
Sample Information
DIME Sample ID: 2023-05-22-2
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: 05/22/2023
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 84
A brief description of the sample: HRC 120 T-Headed Bar
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): 1201037475
Head Manufacturer Lot Number(s): 3
Rebar Size: #5
Headed Bar Model Name: HRC 120
Size of Head: Full Size - 9x
Head Connection Type: Friction Weld
Head Shape: Square
Rebar Manufacturer: Nucor
Head Manufacturer: Nucor
Head Fabricator: HRC Fountain Valley
Material Standard Code: ASTM A706
Headed Bar Unique ID: 9FW-17-03
Test Results
