Sample Record
Owner Lab
- Kleinfelder, Incorporated - Sacramento
DIME Sample ID 2024-10-31-59
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000078 DEA: 051P2804 EFIS: 0522000016 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR,-1-17.02/17.02 |
| Award Date | 04/19/2024 |
| Closeout Date | 04/01/2025 |
| Work Description | REPLACE SEPARATION BRIDGE GIRDER. |
| Location Description | SANTA CRUZ COUNTY IN SANTA CRUZ AT ROUTE 1 NORTHBOUND/17 SEPARATION |
| QA Service Level | 1 (Verified on 02/05/2024) |
Sample Information
| Sample Taken Date | 10/31/2024 | Sample Unique Key | 59 |
|---|---|---|---|
| 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 testing | 10/31/2024 |
| Sample type | Quality Assurance | A brief description of the sample | #9 HRC 150 T-Heads |
| The quantity of what the sample constitutes | 8 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
| Title of sampler | Telephone number of sampler | 9152961869 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Headed Reinforcement Corp, Fountain Valley, CA | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L134-053-24 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 4137349 | Head Manufacturer Lot Number(s) | 1 |
| Rebar Size | #9 | Headed Bar Model Name | HRC 150 THeads |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Circular | Rebar Manufacturer | CMC Steel Arizona |
| Head Manufacturer | HRC Fountain Valley | Head Fabricator | HRC Fountain Valley |
| Material Standard Code | ASTM A615 | Headed Bar Unique ID | 9FW-17-04 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 20235911.005A_20241031_24-SAC-01428_Metal_DIME ID#2024-10-31-59 | 11/14/2024 | Info |
Test File Attachments
DIME Test ID: 2024-10-31-59-1 ASTM A970-18 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 20235911.005A_20241031_24-SAC-01428_Metal_DIME ID#2024-10-31-59 | 11/14/2024 | 2024-10-31-59-1 | Info |