Sample Record

DIME Sample ID 2024-10-31-1

Project Information

Project IdentifiersProject ID: 1000078
DEA: 051P2804
EFIS: 0522000016
DIST-CO-RTE-PM05-SCR,-1-17.02/17.02
Award Date04/19/2024
Closeout Date04/01/2025
Work DescriptionREPLACE SEPARATION BRIDGE GIRDER.
Location DescriptionSANTA CRUZ COUNTY IN SANTA CRUZ AT ROUTE 1 NORTHBOUND/17 SEPARATION
QA Service Level1 (Verified on 02/05/2024)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/31/2024 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing10/31/2024 Sample typeQuality Assurance
A brief description of the sample#9 HRC 150 T-Heads The quantity of what the sample constitutes8
From where was the sample collectedManufacturer First name of sampler or witnessed bySteve
Last name of sampler or witnessed byHall Title of sampler
Telephone number of sampler9152961869 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameHeaded Reinforcement Corp, Fountain Valley, CA
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL134-053-24
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4137349 Head Manufacturer Lot Number(s)1
Rebar Size#9 Headed Bar Model NameHRC 150 THeads
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerCMC Steel Arizona
Head ManufacturerHRC Fountain Valley Head FabricatorHRC Fountain Valley
Material Standard CodeASTM A615 Headed Bar Unique ID9FW-17-04

Submitted Tests

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