Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-08-20-1

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 Date08/20/2026 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 Assurance A brief description of the sample#9 Rebar with HRC 555 Head
The quantity of what the sample constitutes22 From where was the sample collectedFabricator
First name of sampler or witnessed byJayce Last name of sampler or witnessed byGroves
Title of sampler Telephone number of sampler
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) 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)307326 Head Manufacturer Lot Number(s)307326
Rebar Size#9 Headed Bar Model NameType 555
Size of HeadFull Size - 9x Head Connection Type
Head ShapeCircular Rebar ManufacturerCascade Steel
Head ManufacturerMartinez Steel Head FabricatorHeaded Reinforcement Corp
Material Standard CodeASTM A706 Headed Bar Unique ID4FG-17-01

Submitted Tests

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