DIME - Sample Record for DIME Sample ID 2019-08-07-4

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Sample Record

Owner Lab

CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2019-08-07-4

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Project Information

Project Identifiers	Project ID: 212743 DEA: 030H26U4 EFIS: 0317000247
DIST-CO-RTE-PM	03-PLA-65-R5.0/R6.6
Award Date	02/14/2018
Closeout Date	10/21/2022
Work Description	NORTHBOUND WIDENING AND RAMP IMPROVEMENTS.
Location Description	PLACER COUNTY IN AND NEAR ROSEVILLE AND ROCKLIN FROM 0.1 MILE SOUTH OF EAST ROSEVILLE VIADUCT TO 0.5 MILE SOUTH OF PLEASANT GROVE BOULEVARD OVERCROSSING
QA Service Level	1 (Verified on 12/18/2017)

Sample Information

Sample Taken Date	08/07/2019	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	08/12/2019
Sample type	Quality Assurance	A brief description of the sample	#5 T-Head bars
The quantity of what the sample constitutes	2 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	L131-181-19	Structure unique identifier
Structure name

Material Information

Material Type	SMTL TM5 - Headed Bars	Production or Authorization Testing	Production Testing
Rebar Heat Number(s)	4088163	Head Manufacturer Lot Number(s)	B1128831
Rebar Size	5	Headed Bar Model Name	HRC 120
Size of Head	Reduced Size - 4x	Head Connection Type	Forged
Head Shape	Circular	Rebar Manufacturer	CMC Steel Arizona
Head Manufacturer	Unknown	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
2019-08-07-4-1	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	08/12/2019	Brian	Yes	08/14/2019	Bar Broke; OK Necking
2019-08-07-4-2	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	08/12/2019	Brian	Yes	08/14/2019	Bar Broke; OK Necking
2019-08-07-4-3	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	08/12/2019	Brian	Yes	08/14/2019	Bar Broke; OK Necking
2019-08-07-4-4	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	08/12/2019	Brian	Yes	08/14/2019	Bar Broke; OK Necking
2019-08-07-4-5	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	08/12/2019	Brian	Yes	08/14/2019	Bar Broke; OK Necking
2019-08-07-4-6	ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	08/12/2019	Brian	Yes	08/14/2019	Bar Broke; OK Necking

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-08-07-4-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2019-08-07-4-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2019-08-07-4-3 ASTM A970-15e1 (Verified)
DIME Test ID: 2019-08-07-4-4 ASTM A970-15e1 (Verified)
DIME Test ID: 2019-08-07-4-5 ASTM A970-15e1 (Verified)
DIME Test ID: 2019-08-07-4-6 ASTM A970-15e1 (Verified)