Sample Record

DIME Sample ID 2024-04-24-5

Project Information

Project IdentifiersProject ID: 994574
DEA: 050C7334
EFIS: 0518000116
DIST-CO-RTE-PM05-SCR-1-10.5/13.4
Award Date06/29/2023
Closeout DateNot set
Work DescriptionCONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs
Location DescriptionSANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING
QA Service Level1 (Verified on 04/13/2023)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date04/24/2024 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sample#9 HRC 150 T-Heads The quantity of what the sample constitutes16 Headed Bar
From where was the sample collectedFabricator First name of sampler or witnessed byArthur
Last name of sampler or witnessed byPeterson Title of samplerCT METS QA INSPECTOR
Telephone number of sampler 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) FormL110-053-24
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)9002025 Head Manufacturer Lot Number(s)400000369222
Rebar Size#9 Headed Bar Model NameHRC 150
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerCMC Steel - Rancho Cucamonga
Head ManufacturerNucor Utah Head FabricatorHRC Fountain Valley
Material Standard CodeASTM A706 Headed Bar Unique ID9FW-17-04

Submitted Tests

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