Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2023-11-01-30

Project Information

Project IdentifiersProject ID: 994673
DEA: 033F0704
EFIS: 0312000054
DIST-CO-RTE-PM03-SAC-51-2.0/3.5
Award Date08/17/2023
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 05/15/2023)

Sample Information

Sample Taken Date11/01/2023 Sample Unique Key30
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing11/02/2023
Sample typeQuality Assurance A brief description of the sampleHeaded Rebar
The quantity of what the sample constitutes220 From where was the sample collectedSource
First name of sampler or witnessed byEDWARD Last name of sampler or witnessed byLEACH
Title of sampler Telephone number of sampler7072903887
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) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingAuthorization Testing
Rebar Heat Number(s)9000126 Head Manufacturer Lot Number(s)M0133
Rebar Size#8 Headed Bar Model NamenVent Lenton Terminator D14
Size of HeadReduced Size - 4x Head Connection TypeTaper Threaded
Head ShapeCircular Rebar ManufacturerCMC Rebar
Head ManufacturerErico Head FabricatorEaton Steel
Material Standard CodeASTM A706 Headed Bar Unique ID9TT-17-02

Submitted Tests

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

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Test File Attachments