Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2021-09-07-2

Project Information

Project IdentifiersProject ID: 215063
DEA: 032F5704
EFIS: 0300020615
DIST-CO-RTE-PM03-PLA-80-46.3/63.5
Award Date11/02/2020
Closeout DateNot set
Work DescriptionReplace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay)
Location DescriptionNot set
QA Service Level1 (Verified on 11/16/2020)

Sample Information

Sample Taken Date09/07/2021 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 testing09/14/2021
Sample typeQuality Assurance A brief description of the sample(280) #5 HRC 120 2'-4"
The quantity of what the sample constitutesLot 1 of 2(280) #5 HRC 120 2'-4" From where was the sample collectedFabricator
First name of sampler or witnessed byRigoberto Last name of sampler or witnessed byMarin
Title of samplerAMR Telephone number of sampler9515000685
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHeaded Reinforcement Corp Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL133-094-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4108030 Head Manufacturer Lot Number(s)Lot 1
Rebar Size#5 Headed Bar Model NameHRC 120 T Heads
Size of HeadFull Size - 9x Head Connection TypeFriction Weld
Head ShapeCircular Rebar ManufacturerCMC
Head ManufacturerHRC Fountain Valley Head FabricatorHRC Fountain Valley
Material Standard CodeASTM A706

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-07-2-1ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory09/13/2021fsaylor
Yes
09/14/2021OK Necking
2021-09-07-2-2ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory09/13/2021fsaylor
Yes
09/14/2021OK Necking
2021-09-07-2-3ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory09/13/2021fsaylor
Yes
09/14/2021OK Necking