Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2020-07-30-5
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Project Information
| Project Identifiers | Project ID: 214841 DEA: 034H1004 EFIS: 0318000176 |
|---|---|
| DIST-CO-RTE-PM | 03-SIE-49-9.2/24.7 |
| Award Date | 05/29/2020 |
| Closeout Date | 07/29/2022 |
| Work Description | INSTALL RETAINING STRUCTURE AND RSP CONCRETE EMBANKMENT. |
| Location Description | SIERRA COUNTY ON ROUTE 49 AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 03/24/2020) |
Sample Information
| Sample Taken Date | 07/30/2020 | 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 | 07/31/2020 |
| Sample type | Acceptance | A brief description of the sample | #6 double headed rebar |
| The quantity of what the sample constitutes | 22 Pieces, 44 Heads Lot#2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Muser |
| Title of sampler | QA | Telephone number of sampler | 9165170532 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Steel | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S19-400-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 65028682 | Head Manufacturer Lot Number(s) | N/A |
| Rebar Size | #6 | Headed Bar Model Name | 555 |
| Size of Head | Reduced Size - 4x | Head Connection Type | Forged |
| Head Shape | Circular | Rebar Manufacturer | Gerdau |
| Head Manufacturer | HRC | Head Fabricator | HRC |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-30-5-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2020-07-30-5-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2020-07-30-5-3 ASTM A970-15e1 (Verified)