Sample Record

Owner Lab

  • CT - Unassigned/General Field Laboratory

DIME Sample ID 2017-07-25-2

Project Information

Project IdentifiersProject ID: 211616
DEA: 050G0404
EFIS: 0500020020
DIST-CO-RTE-PM05-SLO,MON-101-63.2/R69.3,R0.0/R1.9
Award Date11/16/2016
Closeout Date10/29/2020
Work DescriptionROADWAY REHABILITATION AND BRIDGE CONSTRUCTION.
Location DescriptionSAN LUIS OBISPO AND MONTERY COUNTIES NEAR PASO ROBLES FROM 0.5 MILE SOUTH OF SAN MARCOS CREEK BRIDGE TO 0.2 MILE SOUTH OF BRADLEY ROAD OVERCROSSING
QA Service Level1 (Verified on 09/15/2016)

Sample Information

Sample Taken Date07/25/2017 Sample Unique Key2
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing07/25/2017
Sample typeQuality Assurance A brief description of the sampleHeaded Rebar
The quantity of what the sample constitutes2 From where was the sample collectedSource
First name of sampler or witnessed byTory Last name of sampler or witnessed byMcLaurin
Title of samplerQA Telephone number of sampler6616185971
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHRC Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)xxx Head Manufacturer Lot Number(s)xx
Rebar Size#8 / 25mm Headed Bar Model Namexxx
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeSquare Rebar Manufacturerxx
Head Manufacturerxxx Head Fabricatorxx
Material Standard CodeASTM A706

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.