Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2018-01-25-1

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 Date01/25/2018 Sample Unique Key1
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 sample10 HRC 555 T-Heads
The quantity of what the sample constitutes1 lot From where was the sample collectedManufacturer
First name of sampler or witnessed byRussell Last name of sampler or witnessed byLynch
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGerdau Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL96-019-18 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)6502904402 Head Manufacturer Lot Number(s)G39
Rebar Size#10 Headed Bar Model NameHRC 555
Size of HeadFull Size - 9x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerGerdau
Head ManufacturerGerdau Head FabricatorGerdau
Material Standard CodeASTM A706

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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