Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-08-04-5

Project Information

Project IdentifiersProject ID: 1002077
DEA: 033H5904
EFIS: 0318000017
DIST-CO-RTE-PM03-PLA-80-R26.3/R55.2
Award Date01/08/2026
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/07/2026)

Sample Information

Sample Taken Date08/04/2026 Sample Unique Key5
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#11 rebar with HRC 120 T-Head
The quantity of what the sample constitutes48 pcs. From where was the sample collectedFabricator
First name of sampler or witnessed byJacob Last name of sampler or witnessed byGarcia
Title of samplerQuailty Assurance Inspector Telephone number of sampler7606866753
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHeaded Reinforcement Corporation (HRC) Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL169-115-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)9013302 Head Manufacturer Lot Number(s)100013306541
Rebar Size#11 Headed Bar Model NameHRC Type 120
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeSquare Rebar ManufacturerCMC Steel Arizona
Head ManufacturerNucor Head FabricatorHeaded Reinforcement Corp
Material Standard CodeASTM A706 Headed Bar Unique ID9FW-17-03

Submitted Tests

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