Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-04-08-1
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Project Information
| Project Identifiers | Project ID: 215617 DEA: 101N2004 EFIS: 1021000104 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-5-45.86, 45.86 |
| Award Date | 01/29/2021 |
| Closeout Date | 11/09/2021 |
| Work Description | Emergency Bridge Rehabilitation at Beaver Slough |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/26/2021) |
Sample Information
| Sample Taken Date | 04/08/2021 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 04/12/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #8 Heade Rebar |
| The quantity of what the sample constitutes | 150 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Mahlon | Last name of sampler or witnessed by | Lindenmuth |
| Title of sampler | QA Inspector | Telephone number of sampler | 646-740-3704 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Camblin Steel | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S46-320-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 4104502 | Head Manufacturer Lot Number(s) | N/A |
| Rebar Size | #8 | Headed Bar Model Name | HRC 555 |
| Size of Head | Full Size - 9x | Head Connection Type | Forged |
| Head Shape | Circular | Rebar Manufacturer | CMC Steel Arizona |
| 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: 2021-04-08-1-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-08-1-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-08-1-3 ASTM A970-15e1 (Verified)