Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-04-12-2
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
| Award Date | 05/27/2016 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
| Location Description | LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK |
| QA Service Level | 1 (Verified on 03/16/2016) |
Sample Information
| Sample Taken Date | 04/12/2019 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 testing | 04/24/2019 |
| Sample type | Quality Assurance | A brief description of the sample | A-706 T-Headed Rebar |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | QA | Telephone number of sampler | 702 917-2503 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Integrity Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-046-19 | 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) | 65032923 | Head Manufacturer Lot Number(s) | A177060 |
| Rebar Size | 9 | Headed Bar Model Name | 9 Buttonhead 10AB |
| Size of Head | Full Size - 9x | Head Connection Type | Crimped Head |
| Head Shape | Circular | Rebar Manufacturer | CMC Rebar |
| Head Manufacturer | Barsplice | Head Fabricator | Intergity Bar Placers |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-04-12-2-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2019-04-12-2-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2019-04-12-2-3 ASTM A970-15e1 (Verified)