Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2018-10-05-5

Project Information

Project IdentifiersProject ID: 212687
DEA: 06442544
EFIS: 0612000175
DIST-CO-RTE-PM06-KER-46,5-31.5-33.2
Award Date01/11/2018
Closeout Date11/19/2021
Work DescriptionCONVERT 2-LANE TO 4-LANE CONVENTIONAL HIGHWAY.
Location DescriptionKERN COUNTY NEAR LOST HILLS FROM 1.0 MILE EAST OF LOST HILLS ROAD TO 0.7 MILE EAST OF ROUTE 46/5 SEPARATION
QA Service Level1 (Verified on 03/12/2018)

Sample Information

Sample Taken Date10/05/2018 Sample Unique Key5
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing10/05/2018
Sample typeQuality Control A brief description of the sampleHRC 555 Headed Reinforcement
The quantity of what the sample constitutesXXXX From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerQuality Assurance Inspector Telephone number of sampler310-883-8369
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameGerdau San Bernardino Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormL79-076-18 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)6503039002 Head Manufacturer Lot Number(s)3
Rebar Size9 Headed Bar Model Name555 Headed Reinforcment
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerGerdau
Head ManufacturerHRC Head FabricatorGerdau HRC
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