Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-12-23-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125 |
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DIST-CO-RTE-PM | 02-SHA-5-R3.8/R11.7 |
Award Date | 11/06/2018 |
Closeout Date | 08/16/2023 |
Work Description | WIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB |
Location Description | SHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING |
QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
Sample Taken Date | 12/23/2020 | Sample Unique Key | 2 |
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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 | 12/28/2020 |
Sample type | Quality Assurance | A brief description of the sample | #10 HRC 120 T heads |
The quantity of what the sample constitutes | 20 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
Title of sampler | Telephone number of sampler | 6466327821 | |
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 | L134-297-20 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
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Rebar Heat Number(s) | 3100629 | Head Manufacturer Lot Number(s) | 1 |
Rebar Size | #10 | Headed Bar Model Name | HRC 120 |
Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
Head Shape | Square | Rebar Manufacturer | CMC Rancho Cucamonga |
Head Manufacturer | Headed Reinforcement Corp | Head Fabricator | HRC Fountain Valley |
Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-12-23-2-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2020-12-23-2-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2020-12-23-2-3 ASTM A970-15e1 (Verified)