Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-12-18-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993678 DEA: 042Q8004 EFIS: 0419000050 COOP: 042836,042944 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101,92-US 101 & SR 92-10.9/12.1 & 11.8/13.4 |
| Award Date | 01/22/2025 |
| Closeout Date | Not set |
| Work Description | US 101/SR 92 INTERCHANGE AREA IMPROVEMENT :PROJECT WILL CONSTRUCT CONGESTION RELIEF IMPROVEMENTS AT THE US 101/SR 92 INTERCHANGE AREA. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/15/2022) |
Sample Information
| Sample Taken Date | 12/18/2025 | 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 | ASTM A706 Grade 60 rebar welded to HRC 150 T-Heads |
| The quantity of what the sample constitutes | 64 bars size #6 / 88 HRC 150 T Heads | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
| Title of sampler | Steel Associate Inspector | Telephone number of sampler | 707 342-8602 |
| 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 | L110-071-25 | Structure unique identifier | |
| Structure name | Bid Item | 118 - HEADED BAR REINFORCEMENT |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 4146853 | Head Manufacturer Lot Number(s) | 100012688320 |
| Rebar Size | #6 | Headed Bar Model Name | HRC 150 T Heads |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Circular | Rebar Manufacturer | CMC - AZ |
| Head Manufacturer | Nucor Wisconsin | Head Fabricator | HRC Fountain Valley CA |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9FW-17-04 |
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. | |||