Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-05-12-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213682 DEA: 11430184 EFIS: 1117000215 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-805-8.4/8.8 |
| Award Date | 12/13/2018 |
| Closeout Date | 09/14/2023 |
| Work Description | Bridge widening, HMA, barrier, drainage, RCP, and landscape work near Sweetwater River Bridge in Chula Vista. Widening of Sweetwater River Bridge in Chula Vista on 805. |
| Location Description | Near Sweetwater River Bridge in Chula Vista on 805. |
| QA Service Level | 1 (Verified on 06/01/2020) |
Sample Information
| Sample Taken Date | 05/12/2020 | 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 | 05/19/2020 |
| Sample type | Quality Assurance | A brief description of the sample | HRC 555 Head Bar |
| The quantity of what the sample constitutes | (4) #9 4 ft. long | 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 | QA | Telephone number of sampler | 951-500-0685 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Steel Group | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L133-079-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 1202017924 | Head Manufacturer Lot Number(s) | Lot 2 |
| Rebar Size | #8 | Headed Bar Model Name | Hot Forge Headed Bar |
| Size of Head | Full Size - 9x | Head Connection Type | Forged |
| Head Shape | Circular | Rebar Manufacturer | NUCOR |
| Head Manufacturer | Pacific Steel Group | Head Fabricator | Pacific Steel Group |
| 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. | |||