Sample Record

Owner Labs

  • Sequoia Consultants
  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2021-06-07-2

Project Information

Project IdentifiersProject ID: 215257
DEA: 11056374
EFIS: 1117000087
DIST-CO-RTE-PM11-SD-11-0.6/2.7
Award Date02/16/2021
Closeout DateNot set
Work DescriptionCONSTRUCT INTERCHANGE, PLACE JPCP, HMA, AND INSTALL LIGHTING.
Location DescriptionSAN DIEGO COUNTY NEAR SAN DIEGO FROM 0.2 MILE WEST OF SANYO AVENUE UNDERCROSSING TO 1.2 MILE EAST OF ENRICO FERMI DRIVE OVERCROSSING
QA Service Level1 (Verified on 11/25/2020)

Sample Information

Sample Taken Date06/07/2021 Sample Unique Key2
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 testingNot set
Sample typeQuality Control A brief description of the sampleHRC 555 T-Heads
The quantity of what the sample constitutes56 From where was the sample collectedFabricator
First name of sampler or witnessed bySteve Last name of sampler or witnessed byHall
Title of samplerCT METS QA INSPECTOR Telephone number of sampler6466327821
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC San Bernardino Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL134-095-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)1066929 Head Manufacturer Lot Number(s)1
Rebar Size#14 Headed Bar Model NameHRC 555
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerCMC Rancho Cucamonga
Head ManufacturerHRC Head FabricatorHRC
Material Standard CodeASTM A706 Headed Bar Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments