Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-01-27-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213856 DEA: 112888U4 EFIS: 1118000199 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-11,125,905-Various |
| Award Date | 05/09/2019 |
| Closeout Date | 09/14/2023 |
| Work Description | CONSTRUCT FREEWAY TO FREEWAY CONNECTORS AND 4-LANE HIGHWAY FACILITY |
| Location Description | SAN DIEGO COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 07/19/2019) |
Sample Information
| Sample Taken Date | 01/27/2020 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 01/31/2020 |
| Sample type | Quality Control | A brief description of the sample | #14 ASTM 706 41'-4" Both Ends Headed Bar H55 |
| The quantity of what the sample constitutes | 4 samples from Lot # 1 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Rigoberto | Last name of sampler or witnessed by | Marin |
| Title of sampler | Inspector | Telephone number of sampler | 951-500-0685 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Integrity Rebar Placers | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 133-011-20 | Structure unique identifier | |
| Structure name | S125/905 Connector |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 65021892 | Head Manufacturer Lot Number(s) | Lot 1 |
| Rebar Size | 14 | Headed Bar Model Name | NA |
| Size of Head | Full Size - 9x | Head Connection Type | Forged |
| Head Shape | Circular | Rebar Manufacturer | Gerdau |
| Head Manufacturer | Integrity Rebar Placers | Head Fabricator | Integrity Rebar Placers |
| 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. | |||