Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-10-29-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212376 DEA: 044G8504 EFIS: 0413000052 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-1-R44.1 |
| Award Date | 04/12/2018 |
| Closeout Date | 09/01/2020 |
| Work Description | REPLACE PEDESTRIAN OVERCROSSING |
| Location Description | SAN MATEO COUNTY IN PACIFICA AT THE SAN JOSE AVENUE PEDESTRIAN OVERCROSSING |
| QA Service Level | 1 (Verified on 05/23/2018) |
Sample Information
| Sample Taken Date | 10/29/2018 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 Control | A brief description of the sample | A706 HRC 150 |
| The quantity of what the sample constitutes | 1 lot of 10 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Weeks |
| Title of sampler | Telephone number of sampler | 310-883-8369 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC Fountain Valley | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L79-094-18 | 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) | 6503216102 | Head Manufacturer Lot Number(s) | B1123978 |
| Rebar Size | 6 | Headed Bar Model Name | HRC 150 |
| Size of Head | Reduced Size - 4x | Head Connection Type | |
| Head Shape | Circular | Rebar Manufacturer | Gerdau |
| Head Manufacturer | HRC | Head Fabricator | HRC Fountain Valley |
| Material Standard Code | ASTM A706 | 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. | |||