Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2021-09-22-3

Project Information

Project IdentifiersProject ID: 213750
DEA: 120K0224
EFIS: 1214000097
DIST-CO-RTE-PM12-ORA-5-14.5/17.1
Award Date03/05/2019
Closeout DateNot set
Work DescriptionSouth County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN MISSION VIEJO AND LAGUNA HILLS FROM 0.7 MILE SOUTH OF OSO PARKWAY OVERCROSSING TO 0.3 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING
QA Service Level1 (Verified on 04/15/2019)

Sample Information

Sample Taken Date09/22/2021 Sample Unique Key3
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 testing09/29/2021
Sample typeQuality Assurance A brief description of the sample#9 BNX Buttonhead (9CS-17-01)
The quantity of what the sample constitutes(4) #9 BNX Buttonhead (9CS-17-01) From where was the sample collectedManufacturer
First name of sampler or witnessed byRigoberto Last name of sampler or witnessed byMarin
Title of sampler Telephone number of sampler9515000685
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameIntegrity Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL133-113-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)2110991 Head Manufacturer Lot Number(s)A201714
Rebar Size#9 Headed Bar Model NameBPI Bottonhead 10AB
Size of HeadFull Size - 9x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerVinton Steel
Head ManufacturerIntegrity Rebar Head FabricatorBarsplice BNX Buttonheads
Material Standard CodeASTM A706

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-22-3-1ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory09/30/2021bewing
Yes
09/30/2021Head Pulled Off
2021-09-22-3-3ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory09/30/2021bewing
Yes
09/30/2021Head Pulled Off
2021-09-22-3-4ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory09/30/2021bewing
Yes
09/30/2021Head Pulled Off
2021-09-22-3-5ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)bewingCT HQ - Sacramento Structural Materials Testing Laboratory09/30/2021bewing
Yes
09/30/2021Head Pulled Off