Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2022-12-27-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-R10.4/30.2 |
| Award Date | 01/18/2022 |
| Closeout Date | Not set |
| Work Description | Highway widening, overhead signs, and electronic toll system. |
| Location Description | In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing. |
| QA Service Level | 1 (Verified on 04/11/2022) |
Sample Information
| Sample Taken Date | 12/27/2022 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 Assurance | A brief description of the sample | HRC 555 headed bars |
| The quantity of what the sample constitutes | 150 | 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 | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Steel | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B24-161-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | TBD | Head Manufacturer Lot Number(s) | TBD |
| Rebar Size | #8 | Headed Bar Model Name | HRC 555 |
| Size of Head | Reduced Size - 4x | Head Connection Type | Forged |
| Head Shape | Circular | Rebar Manufacturer | TBD |
| Head Manufacturer | HRC | Head Fabricator | HRC Fountain Valley |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 4FG-17-01 |
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. | |||