Sample Record

Owner Lab

  • CT - Unassigned/General Field Laboratory

DIME Sample ID 2017-10-20-2

Project Information

Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Award Date09/02/2011
Closeout DateNot set
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
QA Service Level1 (Verified on 06/03/2013)

Sample Information

Sample Taken Date10/20/2017 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 testingNot set
Sample typeIndependent Assurance A brief description of the sampleHRC T-Heads
The quantity of what the sample constitutes11 Lots From where was the sample collectedManufacturer
First name of sampler or witnessed byWilliam Last name of sampler or witnessed byClifford
Title of samplerIQA Inspector Telephone number of sampler(510) 325-3065
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHRC Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL78-041-17 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)xxxx Head Manufacturer Lot Number(s)xxxx
Rebar Size#11 Headed Bar Model NameHRC 555
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeCircular Rebar Manufacturerxxxx
Head Manufacturerxxxx Head Fabricatorxxxx
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

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