Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-08-07-7
Project Information
Project Identifiers | Project ID: 212743 DEA: 030H26U4 EFIS: 0317000247 |
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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 | 7 |
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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 | 08/12/2019 |
Sample type | Quality Control | A brief description of the sample | #7 T-Head bars |
The quantity of what the sample constitutes | 1 Lot | 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 | L131-184-19 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
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Rebar Heat Number(s) | 4087576 | Head Manufacturer Lot Number(s) | B1125290 |
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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |