Sample Record

DIME Sample ID 2024-06-14-4

Project Information

Project IdentifiersProject ID: 214469
DEA: 030H08U4
EFIS: 0319000029
DIST-CO-RTE-PM03-SAC-50-L0.2/R6.1
Award Date06/30/2020
Closeout DateNot set
Work DescriptionSac 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 DescriptionFROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE
QA Service Level1 (Verified on 10/23/2019)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date06/14/2024 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeVerification
A brief description of the sampleHRC 555 T-Heads The quantity of what the sample constitutes32
From where was the sample collectedManufacturer First name of sampler or witnessed byBrian
Last name of sampler or witnessed byMurray Title of samplerQA Inspector
Telephone number of sampler5624420352 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameHeaded Reinforcement Corp, Fountain Valley, CA
Transportation Laboratory (TL) NumberL140-049-24 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)1201050146 Head Manufacturer Lot Number(s)1
Rebar Size#14 Headed Bar Model Name555
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerNucor
Head ManufacturerHRC Head FabricatorHRC
Material Standard CodeASTM A706 Headed Bar Unique ID4FG-17-01

Submitted Tests

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