Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-01-20-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214572 DEA: 034E62U4 EFIS: 0319000068 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-50-18.5/24.2 |
| Award Date | 05/04/2020 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT UC, MED BARRIER, DRAINAGE SYSTEMS & HMA OVERLAY. |
| Location Description | EL DORADO COUNTY IN AND NEAR PLACERVILLE FROM MOSQUITO ROAD UNDERCROSSING TO SCHNELL SCHOOL ROAD UNDERCROSSING AND FROM 0.2 MILE WEST OF STILL MEADOW ROAD TO 0.2 MILE EAST OF CARSON ROAD |
| QA Service Level | 1 (Verified on 03/18/2020) |
Sample Information
| Sample Taken Date | 01/20/2021 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | #9 headed bars |
| The quantity of what the sample constitutes | 4 Headed Bars from lot 1 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 5599740870 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC CMC Rebar Gerdau | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-012-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 3096965 | Head Manufacturer Lot Number(s) | E1202358 17691101 |
| Rebar Size | #9 | Headed Bar Model Name | HRC 150 T Heads |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Circular | Rebar Manufacturer | CMC Steel California |
| Head Manufacturer | HRC | Head Fabricator | Nucor and Gerdau |
| 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. | |||