Sample Record

DIME Sample ID 2021-02-19-24

Project Information

Project IdentifiersProject ID: 214937
DEA: 11288834
EFIS: 1117000088
DIST-CO-RTE-PM11-SD-11,125,905-various
Award Date07/28/2020
Closeout Date03/05/2024
Work DescriptionCONSTRUCT CONCRETE BRIDGE, PAVEMENT, BARRIER, AND INSTALL LIGHTING. HPLUL-6211(133) SR-125 SB to WB SR-905
Location DescriptionSAN DIEGO COUNTY IN AND NEAR SAN DIEGO AT ROUTE 11/125/905 SEPARATION
QA Service Level1 (Verified on 09/04/2020)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date02/19/2021 Sample Unique Key24
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sample#14 HRC Type 555 The quantity of what the sample constitutes4
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 nameCMC
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL133-018-21
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingAuthorization Testing
Rebar Heat Number(s)1066919 Head Manufacturer Lot Number(s)Lot 1
Rebar Size#14 Headed Bar Model NameType 555
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerCMC Steel CA
Head ManufacturerHRC Head FabricatorCMC San Bernardino
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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