Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2023-10-05-6

Project Information

Project IdentifiersProject ID: 993253
DEA: 033F0604
EFIS: 0312000052
DIST-CO-RTE-PM03-GLE-162-76.3/78.6
Award Date02/02/2022
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date10/05/2023 Sample Unique Key6
Date that the sample was received by the laboratory/organization performing the testing10/06/2023 Sample typeDepartment Acceptance
A brief description of the sample#6 HRC 555 Double Headed Rebar The quantity of what the sample constitutes150 Heads
From where was the sample collectedFabricator First name of sampler or witnessed byKevin
Last name of sampler or witnessed byMuser Title of samplerQA
Telephone number of sampler916 517-0532 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC Rebar
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormS19-560-23
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4131711 Head Manufacturer Lot Number(s)NA
Rebar Size#6 Headed Bar Model NameHRC 555
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerCMC Arizona
Head ManufacturerHRC Head FabricatorCMC Fresno
Material Standard CodeASTM A706 Headed Bar Unique ID4FG-17-01

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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