Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-07-08-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214993 DEA: 051F5004 EFIS: 0514000003 |
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DIST-CO-RTE-PM | 05-SB-101,135-70.6/71.2;0.1 |
Award Date | 11/17/2020 |
Closeout Date | 01/11/2024 |
Work Description | CONSTRUCT CONCRETE BRIDGE, BRIDGE REMOVAL, COLD PLANE, PLACE HMA. |
Location Description | SANTA BARBARA COUNTY AT LOS ALAMOS ON ROUTE 101 FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF ROUTE 101/135 SEPARATION AND ON ROUTE 135 AT ROUTE 101/135 SEPARATION |
QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
Sample Taken Date | 07/08/2021 | Sample Unique Key | 1 |
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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 | 07/12/2021 |
Sample type | Quality Assurance | A brief description of the sample | #11 headed rebar |
The quantity of what the sample constitutes | 28 | 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 | CT METS QA INSPECTOR | 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 | L134-108-21 | 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) | 3500015879 | Head Manufacturer Lot Number(s) | 1 |
Rebar Size | #11 | Headed Bar Model Name | HRC 120 T Heads |
Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
Head Shape | Square | Rebar Manufacturer | Nucor Seattle |
Head Manufacturer | Headed Reinforcement Corp | Head Fabricator | Headed Reinforcement Corp |
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: 2021-07-08-1-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-07-08-1-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-07-08-1-3 ASTM A970-15e1 (Verified)