Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2019-11-14-1

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout Date08/01/2023
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date11/14/2019 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sampleHeaded Bar The quantity of what the sample constitutes592 bars total
From where was the sample collectedManufacturer First name of sampler or witnessed byDavid
Last name of sampler or witnessed byWeeks Title of samplerASI
Telephone number of sampler310-883-8369 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameIntegrity Rebar
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL79-186-19
Structure unique identifier53-3045 Structure nameValley View
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4088283 Head Manufacturer Lot Number(s)1, 2, 3, and 4
Rebar Size6 Headed Bar Model NameBNX Buttonhead
Size of HeadFull Size - 9x Head Connection TypeCrimped Head
Head ShapeCircular Rebar ManufacturerCMC
Head ManufacturerBarSplice Head FabricatorBarSplice
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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