Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-09-07-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215063 DEA: 032F5704 EFIS: 0300020615 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-80-46.3/63.5 |
| Award Date | 09/23/2020 |
| Closeout Date | 08/11/2023 |
| Work Description | Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay) |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/16/2020) |
Sample Information
| Sample Taken Date | 09/07/2021 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Control | A brief description of the sample | (280) #5 HRC 120 2'-4" |
| The quantity of what the sample constitutes | Lot 1 and 2 (280) #5 HRC 120 2'-4" | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Rigoberto | Last name of sampler or witnessed by | Marin |
| Title of sampler | AMR | Telephone number of sampler | 9515000685 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Headed Reinforcement Corp | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L133-094-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 4108030 | Head Manufacturer Lot Number(s) | Lot 1 and 2 |
| Rebar Size | #5 | Headed Bar Model Name | HRC 120 T Heads |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Circular | Rebar Manufacturer | CMC |
| Head Manufacturer | HRC Fountain Valley | Head Fabricator | HRC Fountain Valley |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||