Sample Record

DIME Sample ID 2020-05-15-2

Project Information

Project IdentifiersProject ID: 213856
DEA: 112888U4
EFIS: 1118000199
DIST-CO-RTE-PM11-SD-11,125,905-Various
Award Date05/09/2019
Closeout Date09/14/2023
Work DescriptionCONSTRUCT FREEWAY TO FREEWAY CONNECTORS AND 4-LANE HIGHWAY FACILITY
Location DescriptionSAN DIEGO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 07/19/2019)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date05/15/2020 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing05/22/2020 Sample typeQuality Control
A brief description of the sample(4) #11 Headed Bar The quantity of what the sample constitutes112 HeadedBars
From where was the sample collectedFabricator First name of sampler or witnessed byRigoberto
Last name of sampler or witnessed byMarin Title of samplerQAI
Telephone number of sampler951-500-0685 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) Form133-081-20
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)65029070-02 Head Manufacturer Lot Number(s)A200153
Rebar Size#11 Headed Bar Model NameBNX 10Ab
Size of HeadFull Size - 9x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerGerdau
Head ManufacturerBarSplice Head FabricatorIntegrity Rebar
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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