Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2021-02-09-3

Project Information

Project IdentifiersProject ID: 214529
DEA: 034H1104
EFIS: 0318000177
DIST-CO-RTE-PM03-PLA,NEV-80-Var
Award Date05/05/2020
Closeout Date07/06/2021
Work DescriptionPLACE CONCRETE GUTTERS AND CULVERTS
Location DescriptionPLACER AND NEVADA COUNTIES IN AND NEAR KINGVALE AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 03/18/2020)

Sample Information

Sample Taken Date02/09/2021 Sample Unique Key3
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 testingNot set
Sample typeQuality Control A brief description of the sample#8 HRC 555
The quantity of what the sample constitutes300 From where was the sample collectedFabricator
First name of sampler or witnessed bySherri Last name of sampler or witnessed byBrannon
Title of samplerASI Telephone number of sampler916-826-6371
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Steel Group Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)3500011782 Head Manufacturer Lot Number(s)3500011782
Rebar Size#8 Headed Bar Model NameHRC 555
Size of HeadReduced Size - 4x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerNucor
Head ManufacturerHRC Head FabricatorPacific Steeel Group
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