Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2023-05-03-26
Project Information
Project Identifiers | Project ID: 993279 DEA: 010E0904 EFIS: 0113000123 |
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DIST-CO-RTE-PM | 01-MEN-20-33.3/34.4 |
Award Date | 05/06/2022 |
Closeout Date | Not set |
Work Description | CONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310) |
Location Description | MENDOCINO COUNTY NEAR UKIAH FROM 0.3 MILE WEST OF RUSSIAN RIVER BRIDGE AND OVERHEAD TO 0.3 MILE EAST OF COUNTY ROAD 144 |
QA Service Level | 1 (Verified on 10/04/2021) |
Sample Information
Sample Taken Date | 05/03/2023 | Sample Unique Key | 26 |
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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 | #7 Headed rebar |
The quantity of what the sample constitutes | 15 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
Title of sampler | Associate Steel Inspector | Telephone number of sampler | 510-376-7155 cell |
Laboratory sample identification | lot 2 | Linked DIME Sample ID | B9-069-23 |
The fabricator/manufacturer/facility name | CMC Rebar Fresno | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | B9-079-23 | Structure unique identifier | 10-0310 |
Structure name | Russian River OH |
Material Information
Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
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Rebar Heat Number(s) | 6037429 | Head Manufacturer Lot Number(s) | 945 HT |
Rebar Size | #7 | Headed Bar Model Name | HRC 555 T Head |
Size of Head | Reduced Size - 4x | Head Connection Type | Forged |
Head Shape | Circular | Rebar Manufacturer | CMC Rebar |
Head Manufacturer | CMC HRC | Head Fabricator | HRC CMC |
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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |