Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-04-02-2
Project Information
Project Identifiers | Project ID: 214841 DEA: 034H1004 EFIS: 0318000176 |
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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 | 04/02/2021 | Sample Unique Key | 2 |
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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 | #6 HRC 555 Reduced Size |
The quantity of what the sample constitutes | (4) #6 HRC 555 Reduced Size | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Rigoberto | Last name of sampler or witnessed by | Marin |
Title of sampler | QAI | Telephone number of sampler | 951-500-0685 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Pacific Steel Group | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L133-048-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
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Rebar Heat Number(s) | 1202029290 | Head Manufacturer Lot Number(s) | Lot 1 |
Rebar Size | #6 | Headed Bar Model Name | HCR Type 555 |
Size of Head | Reduced Size - 4x | Head Connection Type | Forged |
Head Shape | Circular | Rebar Manufacturer | Nucor |
Head Manufacturer | Pacific Steel Group | Head Fabricator | Pacific Steel Group |
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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |