Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2021-06-17-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date06/17/2021 Sample Unique Key3
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 testing06/21/2021
Sample typeQuality Assurance A brief description of the sample#11 HRC 120 T-Heads
The quantity of what the sample constitutes88 From where was the sample collectedSource
First name of sampler or witnessed byAndrew Last name of sampler or witnessed byWebster
Title of samplerQAI Telephone number of sampler9254189838
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHeaded Reinforcement Corp, Fountain Valley, CA Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL154-025-21 Structure unique identifier
Structure nameOC405

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4108435 Head Manufacturer Lot Number(s)1
Rebar Size#11 Headed Bar Model NameHRC 120 T Heads
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeSquare Rebar ManufacturerCMC Rebar
Head ManufacturerHeaded Reinforcement Corp Head FabricatorHeaded Reinforcement Corp
Material Standard CodeASTM A706

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-17-3-1ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory06/22/2021bewing
Yes
06/22/2021Ok Necking
2021-06-17-3-2ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory06/22/2021bewing
Yes
06/22/2021Ok Necking
2021-06-17-3-3ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory06/22/2021bewing
Yes
06/22/2021Ok Necking