Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2023-06-29-6

Project Information

Project IdentifiersProject ID: 212737
DEA: 060S8304
EFIS: 0615000046
DIST-CO-RTE-PM06-FRE-5-44.4-45.4
Award Date05/27/2022
Closeout DateNot set
Work DescriptionTUMEY GULCH ABUTMENT REHAB BR# 42-0246L/R.
Location DescriptionIN FRESNO COUNTY AT TUMEY GULCH.
QA Service Level1 (Verified on 09/25/2018)

Sample Information

Sample Taken Date06/29/2023 Sample Unique Key6
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 testingNot set
Sample typeQuality Control A brief description of the sampleHRC 555 headed bars
The quantity of what the sample constitutes24 From where was the sample collectedFabricator
First name of sampler or witnessed bySherri Last name of sampler or witnessed byBrannon
Title of samplerQA Inspector Telephone number of sampler(916) 826-6371
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Steel Group Napa Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB22--207-23 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)3500032060 Head Manufacturer Lot Number(s)1
Rebar Size#8 Headed Bar Model NameHRC 555
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerNucor
Head ManufacturerPacific Steel Group Napa Head FabricatorPacific Steel Group Napa
Material Standard CodeASTM A706 Headed Bar Unique ID4FG-17-01

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments