Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-04-05-5
Sample Details QR Code
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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 | 5 |
|---|---|---|---|
| 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 Control | 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 | C9469885 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-019-19 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production 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 | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||