Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-01-07-1
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 1000403 DEA: 120K91U4 EFIS: 1222000031 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-91-R9.2/R11.4 |
| Award Date | 01/03/2025 |
| Closeout Date | Not set |
| Work Description | CONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY IN ANAHEIM FROM 0.9 MILE WEST TO 1.3 MILES EAST OF LAKEVIEW AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 08/19/2024) |
Sample Information
| Sample Taken Date | 01/07/2026 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 01/08/2026 |
| Sample type | Quality Assurance | A brief description of the sample | #9/29mm HRC 150T-Heads |
| The quantity of what the sample constitutes | 16 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Johnathan | Last name of sampler or witnessed by | Shoulders |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Headed Reinforcement Corp, Fountain Valley, CA | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 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) | 9010574 | Head Manufacturer Lot Number(s) | 400000945421 |
| Rebar Size | #9 | Headed Bar Model Name | 101641 |
| Size of Head | Full Size - 9x | Head Connection Type | |
| Head Shape | Circular | Rebar Manufacturer | CMC Steel Arizona |
| Head Manufacturer | Nucor Utah Cold Finish Division | Head Fabricator | Nucor |
| 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. | |||