Sample Record

DIME Sample ID 2022-01-13-4

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 Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date01/13/2022 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sampleHeaded Bar The quantity of what the sample constitutes38
From where was the sample collectedManufacturer First name of sampler or witnessed byBrian
Last name of sampler or witnessed byMurray Title of samplerQA Inspector
Telephone number of sampler213 435 4055 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) FormL140-002-22
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)1202035022 Head Manufacturer Lot Number(s)2
Rebar Size#8 Headed Bar Model NameTapered Threaded DoughNUT
Size of HeadFull Size - 9x Head Connection TypeTaper Threaded
Head ShapeCircular Rebar ManufacturerNucor
Head ManufacturerBar Splice Products Head FabricatorBar Splice Products
Material Standard CodeASTM A615 Headed Bar Unique IDNot set

Submitted Tests

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