Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-11-30-9
Project Information
Project Identifiers | Project ID: 213750 DEA: 120K0224 EFIS: 1214000097 |
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DIST-CO-RTE-PM | 12-ORA-5-14.5/17.1 |
Award Date | 03/05/2019 |
Closeout Date | Not set |
Work Description | South County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS. |
Location Description | ORANGE 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 Level | 1 (Verified on 04/15/2019) |
Sample Information
Sample Taken Date | 11/30/2021 | Sample Unique Key | 9 |
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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 | 12/02/2021 |
Sample type | Quality Assurance | A brief description of the sample | #8 BNX Buttonhead (9CS-17-01) Lot #1 ,QA Samples |
The quantity of what the sample constitutes | (4) #8 BNX Buttonhead (9CS-17-01) | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Subramony | Last name of sampler or witnessed by | Krishnamoorthy |
Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 9512014921 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Integrity Rebar | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L88-17-21 | 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) | 65033318 | Head Manufacturer Lot Number(s) | A213737 |
Rebar Size | #8 | Headed Bar Model Name | 08BNX 5P1 |
Size of Head | Full Size - 9x | Head Connection Type | Crimped Head |
Head Shape | Circular | Rebar Manufacturer | CMC Rebar |
Head Manufacturer | Integrity Rebar | Head Fabricator | Barsplice BNX Buttonheads |
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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |