Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-10-23-1

Project Information

Project IdentifiersProject ID: 213750
DEA: 120K0224
EFIS: 1214000097
DIST-CO-RTE-PM12-ORA-5-14.5/17.1
Award Date03/05/2019
Closeout DateNot set
Work DescriptionSouth County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN MISSION VIEJO AND LAGUNA HILLS FROM 0.7 MILE SOUTH OF OSO PARKWAY OVERCROSSING TO 0.3 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING
QA Service Level1 (Verified on 04/15/2019)

Sample Information

Sample Taken Date10/23/2020 Sample Unique Key1
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 testing10/26/2020
Sample typeQuality Assurance A brief description of the sample#7 Headed Bar - Button Head 07BNX
The quantity of what the sample constitutes4 From where was the sample collectedFabricator
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of samplerQA Inspector Telephone number of sampler707-342-8602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameIntegrity Rebar Placers Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL110-212-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)1202021682 Head Manufacturer Lot Number(s)Lot 2
Rebar Size#7 Headed Bar Model Name07BNX 8G2
Size of HeadFull Size - 9x Head Connection TypeCrimped Head
Head ShapeCircular Rebar ManufacturerNucor
Head ManufacturerBarSplice Products Head FabricatorIntegrity Rebar Placers
Material Standard CodeASTM A706

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-10-23-1-1ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)spaineCT HQ - Sacramento Structural Materials Testing Laboratory10/27/2020spaine
Yes
10/27/2020Ok Necking
2020-10-23-1-2ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)spaineCT HQ - Sacramento Structural Materials Testing Laboratory10/27/2020spaine
Yes
10/27/2020OK Necking
2020-10-23-1-3ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)spaineCT HQ - Sacramento Structural Materials Testing Laboratory10/27/2020spaine
Yes
10/27/2020OK Necking