Sample Record

Owner Labs

  • RMA Group - Rancho Cordova
  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2024-10-31-2

Project Information

Project IdentifiersProject ID: 1000078
DEA: 051P2804
EFIS: 0522000016
DIST-CO-RTE-PM05-SCR, -1-17.02/17.02
Award Date04/19/2024
Closeout DateNot set
Work DescriptionREPLACE SEPARATION BRIDGE GIRDER.
Location DescriptionSANTA CRUZ COUNTY IN SANTA CRUZ AT ROUTE 1 NORTHBOUND/17 SEPARATION
QA Service Level1 (Verified on 02/05/2024)

Sample Information

Sample Taken Date10/31/2024 Sample Unique Key2
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing10/31/2024
Sample typeQuality Control A brief description of the sample#9 HRC 150 T-Heads
The quantity of what the sample constitutes8 From where was the sample collectedManufacturer
First name of sampler or witnessed bySteve Last name of sampler or witnessed byHall
Title of sampler Telephone number of sampler9152961869
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHeaded Reinforcement Corp, Fountain Valley, CA Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL134-054-24 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4137349 Head Manufacturer Lot Number(s)1
Rebar Size#9 Headed Bar Model NameHRC 150 THeads
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerCMC Steel Arizona
Head ManufacturerHRC Fountain Valley Head FabricatorHRC Fountain Valley
Material Standard CodeASTM A615 Headed Bar Unique ID9FW-17-04

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments