Sample Record

DIME Sample ID 2023-04-17-6

Project Information

Project IdentifiersProject ID: 993815
DEA: 081C0814
EFIS: 0816000086
DIST-CO-RTE-PM08-RIV-10-R60.7/R74.3
Award Date03/28/2022
Closeout Date01/21/2026
Work DescriptionI-10 PAVEMENT REHABILITATION (SEGMENT 1) PROJECT
Location DescriptionCoachella
QA Service Level1 (Verified on 05/03/2022)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date04/17/2023 Sample Unique Key6
Date that the sample was received by the laboratory/organization performing the testing04/20/2023 Sample typeQuality Control
A brief description of the sample#10 HRC T-120 The quantity of what the sample constitutes112
From where was the sample collectedManufacturer First name of sampler or witnessed byAdrian
Last name of sampler or witnessed bySanchez Title of sampler
Telephone number of sampler2137133499 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameHRC Fountain Valley
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL159-146-23
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4127262 Head Manufacturer Lot Number(s)1
Rebar Size#10 Headed Bar Model NameHRC 120
Size of HeadFull Size - 9x Head Connection Type
Head ShapeSquare Rebar ManufacturerCMC Rebar
Head ManufacturerHRC Fountain Valley Head FabricatorHRC Fountain Valley
Material Standard CodeASTM A706 Headed Bar Unique ID9FW-17-03

Submitted Tests

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