Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-07-06-7
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993678 DEA: 042Q8004 EFIS: 0419000050 COOP: 042836,042944 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101,92-US 101 & SR 92-10.9/12.1 & 11.8/13.4 |
| Award Date | 01/22/2025 |
| Closeout Date | Not set |
| Work Description | US 101/SR 92 INTERCHANGE AREA IMPROVEMENT :PROJECT WILL CONSTRUCT CONGESTION RELIEF IMPROVEMENTS AT THE US 101/SR 92 INTERCHANGE AREA. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/15/2022) |
Sample Information
| Sample Taken Date | 07/06/2026 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Control | A brief description of the sample | #14 HRC 220 T-Heads |
| The quantity of what the sample constitutes | 8 pcs | 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 | HRC | 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) | 65033035 | Head Manufacturer Lot Number(s) | 308313 |
| Rebar Size | #14 | Headed Bar Model Name | HRC 220 |
| Size of Head | Full Size - 9x | Head Connection Type | |
| Head Shape | Circular | Rebar Manufacturer | CMC |
| Head Manufacturer | Berkeley Forge and Tool | Head Fabricator | HRC |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9FW-17-07 |
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. | |||