Sample Record
Owner Lab
- CT HQ - Sacramento Materials Management Branch Field Office
DIME Sample ID 2019-11-13-27
Project Information
Project Identifiers | Project ID: 208973 DEA: 120H1004 EFIS: 1200000180 COOP: 120670 |
---|---|
DIST-CO-RTE-PM | 12-ORA-405,73,405,605-9.3/24.3 |
Award Date | 11/07/2016 |
Closeout Date | Not set |
Work Description | (Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP. |
Location Description | Orange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2 |
QA Service Level | 1 (Verified on 09/10/2015) |
Sample Information
Sample Taken Date | 11/13/2019 | Sample Unique Key | 27 |
---|---|---|---|
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 | 11/14/2019 |
Sample type | Quality Assurance | A brief description of the sample | #5 T-Heads |
The quantity of what the sample constitutes | 4 samples from Lot # 8 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Reyes |
Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | (707) 656-9086 |
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 | B301-025-19 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Authorization Testing |
---|---|---|---|
Rebar Heat Number(s) | 4090965 | Head Manufacturer Lot Number(s) | B1128831 |
Rebar Size | 5 | Headed Bar Model Name | HRC 120 |
Size of Head | Reduced Size - 4x | Head Connection Type | Friction Weld |
Head Shape | Square | Rebar Manufacturer | CMC Etiwanda |
Head Manufacturer | Nucor | Head Fabricator | HRC |
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. |