Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-02-07-1
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Project Information
| Project Identifiers | Project ID: 995488 DEA: 051C9504 EFIS: 0513000018 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-R36.0/R37.0 |
| Award Date | 07/09/2024 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AC PVMT, RHMA, LIGHTING SYSTEMS, AND REPLACE BRIDGES. |
| Location Description | SANTA BARBARA COUNTY ABOUT 8.0 MILES WEST OF GOLETA FROM 0.6 MILE EAST OF REFUGIO ROAD UNDERCROSSING TO 0.4 MILE WEST OF REFUGIO ROAD UNDERCROSSING. |
| QA Service Level | 1 (Verified on 12/11/2023) |
Sample Information
| Sample Taken Date | 02/07/2025 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 03/07/2025 |
| Sample type | Quality Assurance | A brief description of the sample | #14/43 mm HRC 555 T-Heads |
| The quantity of what the sample constitutes | 80 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Adrian | Last name of sampler or witnessed by | Sanchez |
| Title of sampler | Telephone number of sampler | 2137133499 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L159-019-25 | 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) | 3500036692 | Head Manufacturer Lot Number(s) | 1 |
| Rebar Size | #14 | Headed Bar Model Name | HRC 555 T Head |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Circular | Rebar Manufacturer | NUCOR |
| Head Manufacturer | HRC | Head Fabricator | HRC |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 4FG-17-01 |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-02-07-1-1 ASTM A970-15e1 (Verified)