Sample Record

DIME Sample ID 2025-11-10-6

Project Information

Project IdentifiersProject ID: 1001375
DEA: 040A53T4
EFIS: 0421000155
COOP: 040A53TCM
DIST-CO-RTE-PM04-SOL-80-L1.8/L3.2
Award Date06/20/2025
Closeout DateNot set
Work DescriptionConstruct I-80 WB Truck Scales
Location DescriptionCONSTRUCTION ON STATE HIGHWAY IN SOLANO COUNTY IN AND NEAR FAIRFIELD ON ROUTE 12 FROM THE 80/12 EAST JUNCTION TO 0.9 MILE EAST OF CHADBOURNE ROAD UNDERCROSSING AND ON ROUTE 80 FROM 0.5 MILE WEST OF DAN WILSON CREEK BRIDGE TO WEST TEXAS STREET UNDERCROSSI
QA Service Level1 (Verified on 07/10/2025)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date11/10/2025 Sample Unique Key6
Date that the sample was received by the laboratory/organization performing the testing11/10/2025 Sample typeQuality Assurance
A brief description of the sample#11 HRC 120 T-Heads The quantity of what the sample constitutes4 Samples from lot 1
From where was the sample collectedFabricator First name of sampler or witnessed byOsiel
Last name of sampler or witnessed byRamirez Title of samplerOsiel Ramirez
Telephone number of sampler(916) 767-3535 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameHeaded Reinforcement Corp, Fountain Valley, CA
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL123-075-25
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)9009078 Head Manufacturer Lot Number(s)Lot 1 Heat 100023238741
Rebar Size#11 Headed Bar Model NameHRC 120 T Heads
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeSquare Rebar ManufacturerCMC Steel Arizona
Head ManufacturerHRC Head FabricatorHRC Fountain Valley
Material Standard CodeASTM A706 Headed Bar Unique ID9FW-17-03

Submitted Tests

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