Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-06-07-4
Project Information
Project Identifiers | Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125 |
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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 | 06/07/2019 | Sample Unique Key | 4 |
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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 | 06/12/2019 |
Sample type | Quality Control | A brief description of the sample | #6 T-Head bars |
The quantity of what the sample constitutes | 10 Lots | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Hitesh | Last name of sampler or witnessed by | Patel |
Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 9168691602 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L131-117-19 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Authorization Testing |
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Rebar Heat Number(s) | 4086243 | Head Manufacturer Lot Number(s) | B1128394 Heat100795992 |
Rebar Size | 6 | Headed Bar Model Name | HRC 150 |
Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
Head Shape | Circular | Rebar Manufacturer | CMC Arizona |
Head Manufacturer | Nucor | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |