Sample Record
Owner Lab
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2017-10-20-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 208945 DEA: 07288604 EFIS: 0700021080 COOP: 074663 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-710-6.0-9.4 |
| Award Date | 09/02/2011 |
| Closeout Date | Not set |
| Work Description | Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing. |
| Location Description | Port of Long Beach (District 7) |
| QA Service Level | 1 (Verified on 06/03/2013) |
Sample Information
| Sample Taken Date | 10/20/2017 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Independent Assurance | A brief description of the sample | HRC T-Heads |
| The quantity of what the sample constitutes | 11 Lots | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | William | Last name of sampler or witnessed by | Clifford |
| Title of sampler | IQA Inspector | Telephone number of sampler | (510) 325-3065 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L78-041-17 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | xxxx | Head Manufacturer Lot Number(s) | xxxx |
| Rebar Size | #11 | Headed Bar Model Name | HRC 555 |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Circular | Rebar Manufacturer | xxxx |
| Head Manufacturer | xxxx | Head Fabricator | xxxx |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||