Sample Record
Owner Labs
- Summit Associates
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-02-01-1
Project Information
| Project Identifiers | Project ID: 212571 DEA: 051F7904 EFIS: 0514000061 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-56 |
| Award Date | 08/14/2020 |
| Closeout Date | Not set |
| Work Description | NOJOQUI CREEK BRIDGE (51-0018 L/R) RAILING UPGRADE |
| Location Description | IN SANTA BARBARA COUNTY NEAR BUELLTON AT NOJOQUI CREEK BRIDGE (BR #51-0018 L/R) |
| QA Service Level | 1 (Verified on 02/20/2020) |
Sample Information
| Sample Taken Date | 02/01/2021 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 02/01/2021 |
| Sample type | Quality Assurance | A brief description of the sample | HRC 555 End Anchors |
| The quantity of what the sample constitutes | 24 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Carpenter |
| Title of sampler | QA | Telephone number of sampler | 415-608-1742 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | PJ | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B24-004-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 3500015159 | Head Manufacturer Lot Number(s) | 1 |
| Rebar Size | #11 | Headed Bar Model Name | HRC 555 |
| Size of Head | Reduced Size - 4x | Head Connection Type | |
| Head Shape | Circular | Rebar Manufacturer | CMC Rebar Nucor |
| Head Manufacturer | nucor | Head Fabricator | Nucor and Gerdau |
| Material Standard Code | ASTM A706 |