Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-05-22-1

Project Information

Project IdentifiersProject ID: 1001361
DEA: 120M9704
EFIS: 1213000099
DIST-CO-RTE-PM12-ORA-57-11.5/12.5
Award Date09/25/2025
Closeout DateNot set
Work DescriptionCONST BRIDGES, RET WALLS, JPCP, HMA, CONC BARRIERS AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN ORANGE AND ANAHEIM FROM 0.2 MILE SOUTH OF ORANGEWOOD AVENUE UNDERCROSSING TO KATELLA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 07/28/2025)

Sample Information

Sample Taken Date05/22/2026 Sample Unique Key1
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 Control A brief description of the sampleASMT A706 #5 rebar w/ 120 T heads
The quantity of what the sample constitutes3122 120 T Heads From where was the sample collectedFabricator
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHRC - Fountain Valley, CA 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)137526 Head Manufacturer Lot Number(s)Lot 1 ~ Lot 21
Rebar Size#5 Headed Bar Model NameHRC 120
Size of HeadFull Size - 9x Head Connection Type
Head ShapeSquare Rebar ManufacturerCascade Steel Rolling Mills - Oregon
Head ManufacturerNucor Cold Finish Utah Head FabricatorHRC Fountain Valley CA
Material Standard CodeASTM A706 Headed Bar Unique ID9FW-17-03

Submitted Tests

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