Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-04-26-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214355 DEA: 120K0214 EFIS: 1214000096 |
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DIST-CO-RTE-PM | 12-ORA-5-12.4/14.5 |
Award Date | 12/20/2019 |
Closeout Date | Not set |
Work Description | South County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. | Add one lane btwn 73 & Oso PKWY |
Location Description | ORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING |
QA Service Level | 1 (Verified on 10/31/2019) |
Sample Information
Sample Taken Date | 04/26/2021 | 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 | 05/13/2021 |
Sample type | Quality Assurance | A brief description of the sample | #9 Button head headed bars |
The quantity of what the sample constitutes | (4ea) #9 Heater Bars | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez |
Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 5599740870 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Integrity Rebar | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-048-21 | 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) | 1812754 | Head Manufacturer Lot Number(s) | A201714 |
Rebar Size | #9 | Headed Bar Model Name | Barsplice Buttonhead BNX |
Size of Head | Full Size - 9x | Head Connection Type | Crimped Head |
Head Shape | Circular | Rebar Manufacturer | Vinton Steel |
Head Manufacturer | Integrity Rebar | Head Fabricator | Steel Dynamic Inc |
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: 2021-04-26-2-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-26-2-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-04-26-2-3 ASTM A970-15e1 (Verified)