Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-04-30-7

Project Information

Project IdentifiersProject ID: 1001645
DEA: 051R1004
EFIS: 0523000125
DIST-CO-RTE-PM05-SLO, -1-32.6
Award DateNot set
Closeout DateNot set
Work DescriptionBRIDGE REPLACEMENT, HMA, AND RSP PROTECTION.
Location DescriptionSAN LUIS OBISPO COUNTY NEAR MORRO BAY AT TORO CREEK BRIDGE
QA Service Level1 (Verified on 11/03/2025)

Sample Information

Sample Taken Date04/30/2026 Sample Unique Key7
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 testingNot set
Sample typeQuality Assurance A brief description of the sample#10 HRC 150 T-heads
The quantity of what the sample constitutes35163 lbs From where was the sample collectedFabricator
First name of sampler or witnessed byN/A Last name of sampler or witnessed byN/A
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Steel Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)3500043899 Head Manufacturer Lot Number(s)C258173
Rebar Size#10 Headed Bar Model NameHRC T150
Size of HeadFull Size - 9x Head Connection Type
Head ShapeCircular Rebar ManufacturerNucor
Head ManufacturerWilton Head FabricatorHRC
Material Standard CodeASTM A706 Headed Bar Unique ID9FW-17-04

Submitted Tests

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