Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-05-21-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 3825 DEA: 07138204 EFIS: 0700000142 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-47,103-3.5/4.6,0.0/1.1 |
| Award Date | 06/30/2011 |
| Closeout Date | 07/14/2022 |
| Work Description | REPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS. |
| Location Description | LOS ANGELES COUNTY IN LONG BEACH AND LOS ANGELES ON ROUTE 47 FROM OCEAN BOULEVARD TO ROUTE 103 JUNCTION AND ON ROUTE 103 FROM ROUTE 47 JUNCTION TO ANAHEIM STREET OVERHEAD |
| QA Service Level | 1 (Verified on 03/29/2012) |
Sample Information
| Sample Taken Date | 05/21/2019 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | #9 HRC 120 T-Headed bars |
| The quantity of what the sample constitutes | 4 of 103 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Hitesh | Last name of sampler or witnessed by | Patel |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 9168691602 |
| Laboratory sample identification | Linked DIME Sample ID | N/A | |
| The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | SEQUOIA |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L131-093-19 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 9000477 | Head Manufacturer Lot Number(s) | JA33077 |
| Rebar Size | 9 | Headed Bar Model Name | HRC 120 |
| Size of Head | Reduced Size - 4x | Head Connection Type | Friction Weld |
| Head Shape | Square | Rebar Manufacturer | CMC Rancho Cucamonga |
| Head Manufacturer | KES | 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. | |||