Sample Record

DIME Sample ID 2023-05-22-2

Project Information

Project IdentifiersProject ID: 993169
DEA: 050A0904
EFIS: 0513000028
DIST-CO-RTE-PM05-MON-156-R1.4/R2.0
Award Date12/14/2021
Closeout Date07/31/2024
Work DescriptionWIDEN REINFORCED STRUCTURAL CONCRETE BRIDGE & REPLACE BRIDGE RAILING.
Location DescriptionMONTEREY COUNTY IN AND NEAR CASTROVILLE FROM 0.3 MILE EAST OF ROUTE 156/183 SEPARATION TO 0.2 MILE EAST OF CASTROVILLE BOULEVARD
QA Service Level1 (Verified on 08/17/2021)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date05/22/2023 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sampleHRC 120 T-Headed Bar The quantity of what the sample constitutes84
From where was the sample collectedFabricator First name of sampler or witnessed byArthur
Last name of sampler or witnessed byPeterson Title of sampler
Telephone number of sampler7073428602 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) FormL110-046-23
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)1201037475 Head Manufacturer Lot Number(s)3
Rebar Size#5 Headed Bar Model NameHRC 120
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeSquare Rebar ManufacturerNucor
Head ManufacturerNucor Head FabricatorHRC Fountain Valley
Material Standard CodeASTM A706 Headed Bar Unique ID9FW-17-03

Submitted Tests

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