Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-07-09-1
Project Information
Project Identifiers | Project ID: 7613 DEA: 071218W4 EFIS: 0700021119 |
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DIST-CO-RTE-PM | 07-LA-5-29.4/31.6 |
Award Date | 11/29/2012 |
Closeout Date | 07/31/2023 |
Work Description | REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS. |
Location Description | LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 10/08/2012) |
Sample Information
Sample Taken Date | 07/09/2020 | Sample Unique Key | 1 |
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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 testing | Not set |
Sample type | Quality Assurance | A brief description of the sample | HRC 500/510 coupled |
The quantity of what the sample constitutes | 36 | From where was the sample collected | Distributor |
First name of sampler or witnessed by | Kenneth | Last name of sampler or witnessed by | Varela |
Title of sampler | Associate Steel Inspector | Telephone number of sampler | (562) 440-7716 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Integrity Rebar Placers | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L08-065-20 | Structure unique identifier | 19-Los Angeles |
Structure name |
Material Information
Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
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Rebar Heat Number(s) | 6503051602 | Head Manufacturer Lot Number(s) | A190833 / 100799113 |
Rebar Size | #4 | Headed Bar Model Name | 500 and 510 |
Size of Head | Full Size - 9x | Head Connection Type | Forged |
Head Shape | Circular | Rebar Manufacturer | Gerdau |
Head Manufacturer | Integrity Rebar Placers | Head Fabricator | HRC |
Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |