Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-09-10-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 |
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DIST-CO-RTE-PM | 01-DN-101-8.2/8.7 |
Award Date | 04/21/2020 |
Closeout Date | Not set |
Work Description | Panther Creek & Hunter Creek Bridges |
Location Description | DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE |
QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
Sample Taken Date | 09/10/2021 | 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 | 09/15/2021 |
Sample type | Quality Assurance | A brief description of the sample | (4) #6 4'-0" 150 T-Heads |
The quantity of what the sample constitutes | (16) #6 1'-5" 150 T-Heads | 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 | Telephone number of sampler | 9515000685 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L133-099-21 | 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) | 4110390 | Head Manufacturer Lot Number(s) | Lot 1 |
Rebar Size | #6 | Headed Bar Model Name | Type 150 |
Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
Head Shape | Square | 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
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-09-10-1-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-09-10-1-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-09-10-1-3 ASTM A970-15e1 (Verified)