Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-12-21-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993118 DEA: 101C3304 EFIS: 1014000146 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-205-R4.6/R9.0 |
| Award Date | 04/05/2022 |
| Closeout Date | Not set |
| Work Description | Widening bridges, ramps and roadway. SR205 SMART CORRIDOR - PHASE 2 |
| Location Description | On state highway in San Joaquin County in and near Tracy from Janney Overhead to 1.3 miles east of MacArthur Drive Overcrossing. |
| QA Service Level | 1 (Verified on 07/06/2022) |
Sample Information
| Sample Taken Date | 12/21/2022 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 HRC 150 T Heads |
| The quantity of what the sample constitutes | 36 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
| Title of sampler | QA Inspector | Telephone number of sampler | 2134354055 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L140-215-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 6036543 | Head Manufacturer Lot Number(s) | 40000369222 |
| Rebar Size | #9 | Headed Bar Model Name | HRC 150 |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Circular | Rebar Manufacturer | CMC Steel Oklahoma |
| Head Manufacturer | Nucor | Head Fabricator | Nucor |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9FW-17-04 |
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. | |||