Sample Record

DIME Sample ID 2023-09-21-3

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 Date09/21/2023 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing09/21/2023 Sample typeQuality Control
A brief description of the sample#8 HRC 120 T-Headed bars The quantity of what the sample constitutes96 headed bars
From where was the sample collectedFabricator First name of sampler or witnessed byHenry
Last name of sampler or witnessed byArredondo Title of samplerCaltrans Mets QA Inspector
Telephone number of sampler5623329603 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) FormL166-095-23
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingAuthorization Testing
Rebar Heat Number(s)9000155 Head Manufacturer Lot Number(s)100021992940
Rebar Size#8 Headed Bar Model NameHRC 120 T Heads
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeSquare Rebar ManufacturerCMC Steel Arizona
Head ManufacturerNucor Utah Cold Finish Division Head FabricatorHeaded Reinforcement Corp
Material Standard CodeASTM A706 Headed Bar Unique ID9FW-17-03

Submitted Tests

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