Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-09-21-3
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 993815 DEA: 081C0814 EFIS: 0816000086 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-R60.7/R74.3 |
| Award Date | 03/28/2022 |
| Closeout Date | Not set |
| Work Description | I-10 PAVEMENT REHABILITATION (SEGMENT 1) PROJECT |
| Location Description | Coachella |
| QA Service Level | 1 (Verified on 05/03/2022) |
Sample Information
| Sample Taken Date | 09/21/2023 | Sample Unique Key | 3 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 09/21/2023 |
| Sample type | Quality Control | A brief description of the sample | #8 HRC 120 T-Headed bars |
| The quantity of what the sample constitutes | 96 headed bars | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Henry | Last name of sampler or witnessed by | Arredondo |
| Title of sampler | Caltrans Mets QA Inspector | Telephone number of sampler | 5623329603 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC Fountain Valley | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L166-095-23 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 9000155 | Head Manufacturer Lot Number(s) | 100021992940 |
| Rebar Size | #8 | Headed Bar Model Name | HRC 120 T Heads |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Square | Rebar Manufacturer | CMC Steel Arizona |
| Head Manufacturer | Nucor Utah Cold Finish Division | Head Fabricator | Headed Reinforcement Corp |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9FW-17-03 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||