Sample Record

DIME Sample ID 2019-10-15-5

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/15/2019 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testing10/17/2019 Sample typeQuality Assurance
A brief description of the sample#11 T-Heads The quantity of what the sample constitutes8
From where was the sample collectedSource First name of sampler or witnessed byDanny
Last name of sampler or witnessed byReyes Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC Fontana
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB301-011-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4089453 Head Manufacturer Lot Number(s)ER36D14
Rebar Size11 Headed Bar Model NameLenton DR14
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerCMC Rebar
Head ManufacturerErico lenton Head FabricatorLenton
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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