Sample Record

DIME Sample ID 2025-09-23-9

Project Information

Project IdentifiersProject ID: 1000403
DEA: 120K91U4
EFIS: 1222000031
DIST-CO-RTE-PM12-ORA-91-R9.2/R11.4
Award Date01/03/2025
Closeout DateNot set
Work DescriptionCONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS.
Location DescriptionORANGE COUNTY IN ANAHEIM FROM 0.9 MILE WEST TO 1.3 MILES EAST OF LAKEVIEW AVENUE OVERCROSSING
QA Service Level1 (Verified on 08/19/2024)

Owner Lab

  • CT SC - 3672 - Richmond

Sample Information

Sample Taken Date09/23/2025 Sample Unique Key9
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sampleHRC 555 Heads & HRC 510 Bars The quantity of what the sample constitutes648 pieces
From where was the sample collectedFabricator First name of sampler or witnessed byQuetzal
Last name of sampler or witnessed byCornejo Molina Title of samplerAMR
Telephone number of sampler(510) 867-6015 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC San Bernardino
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier55-1143 Structure nameLakeview Ave OC
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingAuthorization Testing
Rebar Heat Number(s)4149386 Head Manufacturer Lot Number(s)1 to 5
Rebar Size#6 Headed Bar Model NameHRC 555
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerCMC HRC
Head ManufacturerHRC Head FabricatorCMC HRC
Material Standard CodeASTM A706 Headed Bar Unique ID4FG-17-01

Submitted Tests

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