Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-06-14-3
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Project Information
| Project Identifiers | Project ID: 214469 DEA: 030H08U4 EFIS: 0319000029 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-50-L0.2/R6.1 |
| Award Date | 06/30/2020 |
| Closeout Date | Not set |
| Work Description | Sac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC |
| Location Description | FROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE |
| QA Service Level | 1 (Verified on 10/23/2019) |
Sample Information
| Sample Taken Date | 06/14/2024 | 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 | 06/19/2024 |
| Sample type | Quality Assurance | A brief description of the sample | HRC 555 T-Heads |
| The quantity of what the sample constitutes | 32 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
| Title of sampler | QA Inspector | Telephone number of sampler | 5624420352 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Headed Reinforcement Corp, Fountain Valley, CA | Transportation Laboratory (TL) Number | L140-048-24 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 1201050146 | Head Manufacturer Lot Number(s) | 1 |
| Rebar Size | #14 | Headed Bar Model Name | 555 |
| Size of Head | Reduced Size - 4x | Head Connection Type | Forged |
| Head Shape | Circular | Rebar Manufacturer | Nucor |
| Head Manufacturer | HRC | Head Fabricator | HRC |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 4FG-17-01 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-06-14-3-1 ASTM A970-18 (Verified)
DIME Test ID: 2024-06-14-3-2 ASTM A970-18 (Verified)
DIME Test ID: 2024-06-14-3-3 ASTM A970-18 (Verified)