Sample Record
Owner Lab
- CT METS QASI - Los Angeles Design Build Field Laboratory
DIME Sample ID 2020-07-24-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211848 DEA: 112T2174 EFIS: 1116000131 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-5-R37.4 - R46.5 |
| Award Date | 12/22/2016 |
| Closeout Date | Not set |
| Work Description | (Alternative Delivery) CMGC, San Elijo Highway Bridge Replacement. Replace the San Elijo lagoon highway bridge, construct HOV lanes, construct bike and pedestrian trails and bridge, build multi-use facility at Manchester Ave. |
| Location Description | IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS FROM 0.1 MILE NORTH OF LOMAS SANTA FE DRIVE OVERCROSSING TO 0.2 MILE SOUTH OF BIRMINGHAM DRIVE OVERCROSSING |
| QA Service Level | 1 (Verified on 01/31/2017) |
Sample Information
| Sample Taken Date | 07/24/2020 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 07/24/2020 |
| Sample type | Quality Assurance | A brief description of the sample | 555 T-Headed Reinforcing #11 bar |
| The quantity of what the sample constitutes | 93 pcs. | From where was the sample collected | Source |
| First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Kopenski |
| Title of sampler | QA | Telephone number of sampler | 3107459655 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 3093976, 1063859 | Head Manufacturer Lot Number(s) | Lot 7 |
| Rebar Size | #11 | Headed Bar Model Name | HRC 555 |
| Size of Head | Reduced Size - 4x | Head Connection Type | Forged |
| Head Shape | Circular | Rebar Manufacturer | CMC Rebar |
| Head Manufacturer | HRC CMC | 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. | |||