Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2026-06-15-6

Project Information

Project IdentifiersProject ID: 1001469
DEA: 120K62U4
EFIS: 1224000090
DIST-CO-RTE-PM12-ORA, -5-R25.8/30.3
Award Date11/12/2025
Closeout DateNot set
Work DescriptionCONST BRIDGE, RW, SW, PAVEMENT, DRAINAGE, AND ELECTRICAL SYSTEMS.
Location DescriptionORANGE COUNTY IN IRVINE AND TUSTIN FROM YALE AVENUE OVERCROSSING TO ROUTE 5/55 SEPARATION
QA Service Level1 (Verified on 08/13/2025)

Sample Information

Sample Taken Date06/15/2026 Sample Unique Key6
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 sample#9 headed rebar HRC 555
The quantity of what the sample constitutesLot #1 - 24pcs From where was the sample collectedFabricator
First name of sampler or witnessed byJoaquin Last name of sampler or witnessed byMoreno
Title of samplerQuality Assurance Inspector Telephone number of sampler9095268064
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartinez Steel Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL161-040-26 Structure unique identifier
Structure name Bid Item171 - BAR REINFORCING STEEL (BRIDGE)

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingAuthorization Testing
Rebar Heat Number(s)149526 Head Manufacturer Lot Number(s)149526
Rebar Size#9 Headed Bar Model NameHRC 555
Size of HeadFull Size - 9x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerCascade
Head ManufacturerCascade Steel Head FabricatorHRC
Material Standard CodeASTM A706 Headed Bar Unique ID4FG-17-01

Submitted Tests

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