Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2023-11-17-25
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995498 DEA: 072XL104 EFIS: 0724000158 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-14.23 |
| Award Date | 11/11/2023 |
| Closeout Date | 11/04/2025 |
| Work Description | LA-10, Construct temporary structural shoring - Column Casings Repair Work |
| Location Description | I-10 at Olympic Blvd |
| QA Service Level | 1 (Verified on 11/20/2023) |
Sample Information
| Sample Taken Date | 11/17/2023 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 11/17/2023 |
| Sample type | Per Request | A brief description of the sample | Rebar from I-10 fire |
| The quantity of what the sample constitutes | 1 #11 bar, 2 #4 bars, 1 #5 bar | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Murray |
| Title of sampler | Telephone number of sampler | 9166395549 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 53-1301 | |
| Structure name | Santa Monica Viaduct | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | NA | Head Manufacturer Lot Number(s) | No head |
| Rebar Size | #11 | Headed Bar Model Name | No head |
| Size of Head | Full Size - 9x | Head Connection Type | Forged |
| Head Shape | Circular | Rebar Manufacturer | NA |
| Head Manufacturer | No head | Head Fabricator | No head |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9FG-17-01 |
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. | |||