DIME - Sample Record for DIME Sample ID 2019-04-05-4

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Sample Record

Owner Lab

CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2019-04-05-4

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Project Information

Project Identifiers	Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125
DIST-CO-RTE-PM	02-SHA-5-R3.8/R11.7
Award Date	11/06/2018
Closeout Date	08/16/2023
Work Description	WIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location Description	SHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level	1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date	04/05/2019	Sample Unique Key	4
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 testing	04/08/2019
Sample type	Quality Assurance	A brief description of the sample	#5 T-Head bars
The quantity of what the sample constitutes	4 lots	From where was the sample collected	Fabricator
First name of sampler or witnessed by	Osiel	Last name of sampler or witnessed by	Ramirez
Title of sampler	QAI	Telephone number of sampler	5599740870
Laboratory sample identification	2428	Linked DIME Sample ID	N/A
The fabricator/manufacturer/facility name	HRC	Transportation Laboratory (TL) Number	C9469884
Inspector Lot Number from the Transportation Laboratory (TL) Form	L123-018-19	Structure unique identifier	Not set
Structure name	Not set

Material Information

Material Type	SMTL TM5 - Headed Bars	Production or Authorization Testing	Authorization Testing
Rebar Heat Number(s)	6503314402	Head Manufacturer Lot Number(s)	B1126696
Rebar Size	5	Headed Bar Model Name	Nucor
Size of Head	Reduced Size - 4x	Head Connection Type	Friction Weld
Head Shape	Square	Rebar Manufacturer	CMC
Head Manufacturer	Nucor	Head Fabricator	Nucor
Material Standard Code	ASTM A706	Headed Bar Unique ID	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2019-04-05-4-1	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	04/10/2019	Brian	Yes	04/19/2019	Bar Broke; OK Necking
2019-04-05-4-2	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	04/10/2019	Brian	Yes	04/19/2019	Bar Broke; OK Necking
2019-04-05-4-3	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	04/10/2019	Brian	Yes	04/19/2019	Bar Broke; OK Necking
2019-04-05-4-4	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	04/10/2019	Brian	Yes	04/19/2019	Head Popped Off

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-04-05-4-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2019-04-05-4-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2019-04-05-4-3 ASTM A970-15e1 (Verified)
DIME Test ID: 2019-04-05-4-4 ASTM A970-15e1 (Verified)