Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-04-25-2
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Project Information
| Project Identifiers | Project ID: 213526 DEA: 044G9204 EFIS: 0413000062 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-121-PM6.4 |
| Award Date | 09/20/2018 |
| Closeout Date | 10/31/2019 |
| Work Description | REPAIR CORRODED STEEL REINFORCEMENT AND CONCRETE SPALLS |
| Location Description | NAPA COUNTY ON ROUTE 121 AT TULUCAY CREEK BRIDGE |
| QA Service Level | 1 (Verified on 08/19/2019) |
Sample Information
| Sample Taken Date | 04/25/2019 | Sample Unique Key | 2 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 04/29/2019 |
| Sample type | Quality Control | A brief description of the sample | #8 HRC 555T-headed Bars |
| The quantity of what the sample constitutes | 2 lots (240 pcs) | 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 | 2019-04-25-1 |
| The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-024-19 | 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) | 033631 | Head Manufacturer Lot Number(s) | 82624781 |
| Rebar Size | 8 | Headed Bar Model Name | HRC 555 T Heads |
| Size of Head | Reduced Size - 4x | Head Connection Type | Friction Weld |
| Head Shape | Circular | Rebar Manufacturer | CMC Steel California |
| Head Manufacturer | HRC 555 T Heads | Head Fabricator | HRC |
| 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. | |||