Sample Record

DIME Sample ID 2021-11-30-10

Project Information

Project IdentifiersProject ID: 213750
DEA: 120K0224
EFIS: 1214000097
DIST-CO-RTE-PM12-ORA-5-14.5/17.1
Award Date03/05/2019
Closeout Date03/13/2025
Work DescriptionSouth County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN MISSION VIEJO AND LAGUNA HILLS FROM 0.7 MILE SOUTH OF OSO PARKWAY OVERCROSSING TO 0.3 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING
QA Service Level1 (Verified on 04/15/2019)

Owner Labs

  • Sequoia Consultants
  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date11/30/2021 Sample Unique Key10
Date that the sample was received by the laboratory/organization performing the testing11/30/2021 Sample typeQuality Control
A brief description of the sample#8 BNX Buttonhead (9CS-17-01)Lot #1 QC Samples The quantity of what the sample constitutes(4) #8 BNX Buttonhead (9CS-17-01)
From where was the sample collectedManufacturer First name of sampler or witnessed bySubramony
Last name of sampler or witnessed byKrishnamoorthy Title of samplerCALTRANS METS QA INSPECTOR
Telephone number of sampler9512014921 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) FormL88-18-21
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)65033318 Head Manufacturer Lot Number(s)A213737
Rebar Size#8 Headed Bar Model Name08BNX 5P1
Size of HeadFull Size - 9x Head Connection TypeCrimped Head
Head ShapeCircular Rebar ManufacturerCMC Rebar
Head ManufacturerIntegrity Rebar Head FabricatorBarsplice BNX Buttonheads
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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