Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2017-07-26-2
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Project Information
| Project Identifiers | Project ID: 210794 DEA: 062HT104 EFIS: 0612000287 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-99-23.5/26.7 |
| Award Date | 06/30/2016 |
| Closeout Date | 09/16/2020 |
| Work Description | (Alternative Delivery) Realign Freeway CONTACT SMR PRIOR TO PERFORMING ANY TESTING OR INSPECTION. CMGC PROJECT. Realign Route 99 between Ashlan Avenue and Olive Avenue to accommodate the High Speed Train (HST). |
| Location Description | State Highway 99 in Fresno (Fresno County) from 0.2 miles North of Olive Ave over-crossing to 0.2 miles North of Ashlan Ave over-crossing. |
| QA Service Level | 1 (Verified on 10/01/2015) |
Sample Information
| Sample Taken Date | 07/26/2017 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 07/27/2017 |
| Sample type | Quality Assurance | A brief description of the sample | HRC 120 T-Heads |
| The quantity of what the sample constitutes | Lot 1 14 qty | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Paul | Last name of sampler or witnessed by | Shrestha |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | (424) 298-7781 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Headed Reinforcement Corp, Fountain Valley, CA | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 4065771 | Head Manufacturer Lot Number(s) | B1121747 |
| Rebar Size | #5 | Headed Bar Model Name | HRC 120 |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Square | Rebar Manufacturer | CMC Steel Arizona |
| Head Manufacturer | Nucor | Head Fabricator | HRC Fountain Valley |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-07-26-2-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2017-07-26-2-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2017-07-26-2-3 ASTM A970-15e1 (Verified)