Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-08-07-5
Sample Details QR Code
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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 | 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 | 08/12/2019 |
| Sample type | Quality Control | 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 | L131-182-19 | 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 | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||