Sample Record

DIME Sample ID 2020-05-12-2

Project Information

Project IdentifiersProject ID: 213682
DEA: 11430184
EFIS: 1117000215
DIST-CO-RTE-PM11-SD-805-8.4/8.8
Award Date12/13/2018
Closeout Date09/14/2023
Work DescriptionBridge widening, HMA, barrier, drainage, RCP, and landscape work near Sweetwater River Bridge in Chula Vista. Widening of Sweetwater River Bridge in Chula Vista on 805.
Location DescriptionNear Sweetwater River Bridge in Chula Vista on 805.
QA Service Level1 (Verified on 06/01/2020)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date05/12/2020 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing05/19/2020 Sample typeQuality Assurance
A brief description of the sampleHRC 555 Head Bar The quantity of what the sample constitutes(4) #8 4 ft. long
From where was the sample collectedFabricator First name of sampler or witnessed byRigoberto
Last name of sampler or witnessed byMarin Title of samplerQA
Telephone number of sampler951-500-0685 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) FormL133-078-20
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)1202016630 Head Manufacturer Lot Number(s)Lot 2
Rebar Size#8 Headed Bar Model NameHot Forge Headed Bar
Size of HeadFull Size - 9x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerNUCOR
Head ManufacturerPacific Steel Group Head FabricatorPacific Steel Group
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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