Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-05-12-7

Project Information

Project IdentifiersProject ID: 215753
DEA: 050N72U4
EFIS: 0520000169
DIST-CO-RTE-PM05-SB-101-4.4/R7.7
Award Date06/05/2021
Closeout DateNot set
Work DescriptionPlease cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description101 freeway in Summerland, CA
QA Service Level1 (Verified on 05/06/2021)

Sample Information

Sample Taken Date05/12/2023 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sampleHeaded Bars The quantity of what the sample constitutes932
From where was the sample collectedSource First name of sampler or witnessed byHuidon
Last name of sampler or witnessed byJoo Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameHeaded Reinforcement Corporation (HRC)
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)4128000 Head Manufacturer Lot Number(s)100011762742
Rebar Size#8 Headed Bar Model NameHRC 120 T Heads
Size of HeadFull Size - 9x Head Connection Type
Head ShapeRectanglar Rebar ManufacturerCMC Steel Arizona
Head ManufacturerNucor Head FabricatorNucor
Material Standard CodeASTM A706 Headed Bar Unique ID9FW-17-03

Submitted Tests

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