Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-05-07-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211848 DEA: 112T2174 EFIS: 1116000131 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-5-R37.4 - R46.5 |
| Award Date | 12/22/2016 |
| Closeout Date | Not set |
| Work Description | (Alternative Delivery) CMGC, San Elijo Highway Bridge Replacement. Replace the San Elijo lagoon highway bridge, construct HOV lanes, construct bike and pedestrian trails and bridge, build multi-use facility at Manchester Ave. |
| Location Description | IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS FROM 0.1 MILE NORTH OF LOMAS SANTA FE DRIVE OVERCROSSING TO 0.2 MILE SOUTH OF BIRMINGHAM DRIVE OVERCROSSING |
| QA Service Level | 1 (Verified on 01/31/2017) |
Sample Information
| Sample Taken Date | 05/07/2018 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | Quality Assurance | A brief description of the sample | headed reinforcing bar |
| The quantity of what the sample constitutes | 150 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Edward | Last name of sampler or witnessed by | Trasoras |
| Title of sampler | Asst METS Rep | Telephone number of sampler | 323-594-6208 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Headed Reinforcement Corp, Fountain Valley, CA | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 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) | 1 |
| Rebar Size | 18 | Headed Bar Model Name | Headed Reinforcement |
| Size of Head | Full Size - 9x | Head Connection Type | Forged |
| Head Shape | Circular | Rebar Manufacturer | xxx |
| Head Manufacturer | HRC | Head Fabricator | HRC Fountain Valley |
| Material Standard Code | ASTM A955 | 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. | |||