Sample Record

DIME Sample ID 2023-11-17-25

Project Information

Project IdentifiersProject ID: 995498
DEA: 072XL104
EFIS: 0724000158
DIST-CO-RTE-PM07-LA-10-14.23
Award Date11/11/2023
Closeout Date11/04/2025
Work DescriptionLA-10, Construct temporary structural shoring - Column Casings Repair Work
Location DescriptionI-10 at Olympic Blvd
QA Service Level1 (Verified on 11/20/2023)

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

Sample Information

Sample Taken Date11/17/2023 Sample Unique Key25
Date that the sample was received by the laboratory/organization performing the testing11/17/2023 Sample typePer Request
A brief description of the sampleRebar from I-10 fire The quantity of what the sample constitutes1 #11 bar, 2 #4 bars, 1 #5 bar
From where was the sample collectedJob Site First name of sampler or witnessed byDavid
Last name of sampler or witnessed byMurray Title of sampler
Telephone number of sampler9166395549 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameUnknown
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier53-1301 Structure nameSanta Monica Viaduct
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)NA Head Manufacturer Lot Number(s)No head
Rebar Size#11 Headed Bar Model NameNo head
Size of HeadFull Size - 9x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerNA
Head ManufacturerNo head Head FabricatorNo head
Material Standard CodeASTM A706 Headed Bar Unique ID9FG-17-01

Submitted Tests

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