Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-05-28-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001361 DEA: 120M9704 EFIS: 1213000099 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-11.5/12.5 |
| Award Date | 09/25/2025 |
| Closeout Date | Not set |
| Work Description | CONST BRIDGES, RET WALLS, JPCP, HMA, CONC BARRIERS AND ELECT SYSTEMS. |
| Location Description | ORANGE COUNTY IN ORANGE AND ANAHEIM FROM 0.2 MILE SOUTH OF ORANGEWOOD AVENUE UNDERCROSSING TO KATELLA AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/28/2025) |
Sample Information
| Sample Taken Date | 05/28/2026 | Sample Unique Key | 5 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 05/28/2026 |
| Sample type | Quality Assurance | A brief description of the sample | #9 HRC 150 T-Heads |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Alexis | Last name of sampler or witnessed by | Millan |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 9097569960 |
| 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 | L191-071-26 | Structure unique identifier | |
| Structure name | Bid Item | 149 - HEADED BAR REINFORCEMENT |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 171525 | Head Manufacturer Lot Number(s) | 1 |
| Rebar Size | #9 | Headed Bar Model Name | HRC Type 150 |
| Size of Head | Reduced Size - 4x | Head Connection Type | Friction Weld |
| Head Shape | Circular | Rebar Manufacturer | Cascade Steel |
| Head Manufacturer | HRC | Head Fabricator | Nucor Utah |
| 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. | |||