Sample Record

Owner Lab

  • CT - Unassigned/General Field Laboratory

DIME Sample ID 2017-11-21-3

Project Information

Project IdentifiersProject ID: 3825
DEA: 07138204
EFIS: 0700000142
DIST-CO-RTE-PM07-LA-47,103-3.5/4.6,0.0/1.1
Award Date06/30/2011
Closeout DateNot set
Work DescriptionREPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS.
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH AND LOS ANGELES ON ROUTE 47 FROM OCEAN BOULEVARD TO ROUTE 103 JUNCTION AND ON ROUTE 103 FROM ROUTE 47 JUNCTION TO ANAHEIM STREET OVERHEAD
QA Service Level1 (Verified on 03/29/2012)

Sample Information

Sample Taken Date11/21/2017 Sample Unique Key3
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 typeQuality Assurance A brief description of the sampleHRC 120 T-Heads
The quantity of what the sample constitutes1 Lot of 150 From where was the sample collectedManufacturer
First name of sampler or witnessed byWilliam Last name of sampler or witnessed byClifford
Title of samplerQA 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) FormL78-046-17 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4060069 Head Manufacturer Lot Number(s)95
Rebar Size#10 Headed Bar Model NameHRC 120
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeSquare Rebar ManufacturerCMC Steel Arizona
Head ManufacturerNucor Head FabricatorNF15103497
Material Standard CodeASTM A706

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.