Sample Record

DIME Sample ID 2022-08-15-4

Project Information

Project IdentifiersProject ID: 993771
DEA: 07325204
EFIS: 0716000082
DIST-CO-RTE-PM07-LA-210-R36.7/R37.1
Award Date02/15/2022
Closeout Date01/29/2024
Work DescriptionSan Gabriel River Bridge - CM/GC Project - Hinge And Diaphragm Repairs
Location DescriptionLos Angeles County - LOS ANGELES COUNTY IN IRWINDALE FROM 0.2 MILE EAST OF 0.7 MILE WEST OF IRWINDALE AVENUE OVECROSSING
QA Service Level1 (Verified on 04/21/2022)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date08/15/2022 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testing08/18/2022 Sample typeQuality Assurance
A brief description of the sample#11 HRC555 Headed Ends The quantity of what the sample constitutes234
From where was the sample collectedFabricator First name of sampler or witnessed byAdrian
Last name of sampler or witnessed bySanchez Title of samplerAssociate Steel Inspector
Telephone number of sampler2137133499 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility namePSG
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)1201041289 Head Manufacturer Lot Number(s)1055-T,1057-T
Rebar Size#11 Headed Bar Model NameHRC 555
Size of HeadFull Size - 9x Head Connection Type
Head ShapeCircular Rebar ManufacturerNucor
Head ManufacturerHRC Head FabricatorHRC 555
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

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