Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-08-27-9

Project Information

Project IdentifiersProject ID: 1000511
DEA: 06487404
EFIS: 0616000029
DIST-CO-RTE-PM06-TUL-99-35.8/37.1
Award Date01/14/2025
Closeout DateNot set
Work DescriptionCaldwell Interchange SR99/Ave280 (Visalia) - Replace Bridge Structures and Construct Roundabouts.
Location DescriptionTULARE COUNTY IN AND NEAR VISALIA FROM 0.6 MILE SOUTH OF AVENUE 280 OVERCROSSING TO 0.7 MILE NORTH OF AVENUE 280 OVERCROSSING
QA Service Level1 (Verified on 08/27/2024)

Sample Information

Sample Taken Date08/27/2026 Sample Unique Key9
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 sampleASTM A706 Gr 60 #8 Rebar with HRC 555 Head
The quantity of what the sample constitutesLot 1: 100 pcs. (11,169 lbs.) From where was the sample collectedFabricator
First name of sampler or witnessed byJacob Last name of sampler or witnessed byGarcia
Title of samplerQuality Assurance Inspector Telephone number of sampler7606866753
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Steel Group Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL169-128-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)H0004838 Head Manufacturer Lot Number(s)H0004838
Rebar Size#8 Headed Bar Model NameHRC 555
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerHYBAR
Head ManufacturerHYBAR Head FabricatorHRC
Material Standard CodeASTM A706 Headed Bar Unique ID4FG-17-01

Submitted Tests

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