Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-02-19-24
Project Information
Project Identifiers | Project ID: 214937 DEA: 11288834 EFIS: 1117000088 |
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DIST-CO-RTE-PM | 11-SD-11,125,905-various |
Award Date | 07/28/2020 |
Closeout Date | 03/05/2024 |
Work Description | CONSTRUCT CONCRETE BRIDGE, PAVEMENT, BARRIER, AND INSTALL LIGHTING. HPLUL-6211(133) SR-125 SB to WB SR-905 |
Location Description | SAN DIEGO COUNTY IN AND NEAR SAN DIEGO AT ROUTE 11/125/905 SEPARATION |
QA Service Level | 1 (Verified on 09/04/2020) |
Sample Information
Sample Taken Date | 02/19/2021 | Sample Unique Key | 24 |
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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 | Not set |
Sample type | Quality Control | A brief description of the sample | #14 HRC Type 555 |
The quantity of what the sample constitutes | 4 | 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 | QAI | Telephone number of sampler | 951-500-0685 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | CMC | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L133-018-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Authorization Testing |
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Rebar Heat Number(s) | 1066919 | Head Manufacturer Lot Number(s) | Lot 1 |
Rebar Size | #14 | Headed Bar Model Name | Type 555 |
Size of Head | Reduced Size - 4x | Head Connection Type | Forged |
Head Shape | Circular | Rebar Manufacturer | CMC Steel CA |
Head Manufacturer | HRC | Head Fabricator | CMC San Bernardino |
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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |