Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-04-08-3
Sample Details QR Code
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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 | 04/08/2025 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Control | A brief description of the sample | HRC 555 End Anchors |
| The quantity of what the sample constitutes | 4 of 80 | 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 | QA | Telephone number of sampler | 7029172503 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC Fountain Valley | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-029-25 | 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) | 3500023166 | Head Manufacturer Lot Number(s) | 14A84/14A03 |
| Rebar Size | #14 | Headed Bar Model Name | HRC 555 |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Circular | Rebar Manufacturer | Nucor |
| Head Manufacturer | HRC 555 T Heads | Head Fabricator | HRC Fountain Valley |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 4FG-17-01 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||