Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-03-18-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214190 DEA: 024G41U4 EFIS: 0218000047 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS,SIS-5-Var |
| Award Date | 08/26/2019 |
| Closeout Date | 11/24/2021 |
| Work Description | REPLACE REINFORCED CONCRETE BRIDGES & CONSTRUCT RETAINING WALL. |
| Location Description | SHASTA AND SISKIYOU COUNTIES ABOUT 7 MILES NORTH OF POLLARD FLAT FROM 0.8 MILE SOUTH TO 0.7 MILE NORTH OF SIMS ROAD UNDERCROSSING AND FROM 0.6 MILE SOUTH OF CASTLE CRAGS DRIVE UNDERCROSSING TO 0.2 MILE SOUTH OF SOUTH DUNSMUIR UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/09/2019) |
Sample Information
| Sample Taken Date | 03/18/2020 | Sample Unique Key | 6 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Control | A brief description of the sample | #8 Rebar with HRC 150 T Head |
| The quantity of what the sample constitutes | 48 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Dsouza |
| Title of sampler | Telephone number of sampler | 6469423585 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC Fountain Valley | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 1202016630 | Head Manufacturer Lot Number(s) | Lot 1 |
| Rebar Size | 8 | Headed Bar Model Name | HRC 150 |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Square | Rebar Manufacturer | Nucor |
| Head Manufacturer | HRC | Head Fabricator | HRC |
| Material Standard Code | ASTM A615 | 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. | |||