Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2019-09-04-4

Project Information

Project IdentifiersProject ID: 213856
DEA: 112888U4
EFIS: 1118000199
DIST-CO-RTE-PM11-SD-11,125,905-Various
Award Date05/09/2019
Closeout Date09/14/2023
Work DescriptionCONSTRUCT FREEWAY TO FREEWAY CONNECTORS AND 4-LANE HIGHWAY FACILITY
Location DescriptionSAN DIEGO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 07/19/2019)

Sample Information

Sample Taken Date09/04/2019 Sample Unique Key4
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 testing09/10/2019
Sample typeQuality Assurance A brief description of the sample#14 Grip-Twist Bar Splice Type 2
The quantity of what the sample constitutes8 of 225 From where was the sample collectedFabricator
First name of sampler or witnessed byHitesh Last name of sampler or witnessed byPatel
Title of samplerQuality Assurance Inspector Telephone number of sampler9168691602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameIntegrity Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL131-216-19 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)033695 Head Manufacturer Lot Number(s)A192336, MM18107398
Rebar Size14 Headed Bar Model Name10A Taper Threaded Doughnut
Size of HeadFull Size - 9x Head Connection TypeTaper Threaded
Head ShapeCircular Rebar ManufacturerCMC Rebar
Head ManufacturerBarsplice Head FabricatorIntegrity Rebar Placers
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments