Sample Record
Owner Lab
- Kleinfelder, Incorporated - Sacramento
DIME Sample ID 2024-11-14-44
Project Information
| Project Identifiers | Project ID: 994326 DEA: 051C3604 EFIS: 0512000134 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-217-0.9/1.4 |
| Award Date | 01/31/2023 |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGE. |
| Location Description | SANTA BARBARA COUNTY NEAR GOLETA FROM 0.2 MILE EAST OF GOLETA SLOUGH BRIDGE TO 0.4 MILE EAST OF SAN JOSE CREEK BRIDGE |
| QA Service Level | 1 (Verified on 10/17/2022) |
Sample Information
| Sample Taken Date | 11/14/2024 | Sample Unique Key | 44 |
|---|---|---|---|
| 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 | 11/20/2024 |
| Sample type | Quality Assurance | A brief description of the sample | #9 HRC 150 T-Heads |
| The quantity of what the sample constitutes | 8 of 900 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 7029172503 |
| 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 | L115-160-24 | 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) | 223022 | Head Manufacturer Lot Number(s) | 400002289021 |
| 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 | Cascade Steel |
| Head Manufacturer | Nucor | Head Fabricator | Nucor |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9FW-17-04 |
Submitted Tests
Test File Attachments
DIME Test ID: 2024-11-14-44-1 ASTM A970-18 (Verified)
DIME Test ID: 2024-11-14-44-2 ASTM A970-18 (Verified)
