Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-02-25-2
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-I-15,SR-91-6.1-7.6 |
| Award Date | 03/11/2020 |
| Closeout Date | 06/05/2024 |
| Work Description | I-15 ELC: 15/91 Express Lanes Connector Project (ELC) |
| Location Description | Junction of I-15 and SR-91 in Corona, CA |
| QA Service Level | 1 (Verified on 09/16/2020) |
Sample Information
| Sample Taken Date | 02/25/2022 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 02/25/2022 |
| Sample type | Quality Assurance | A brief description of the sample | HRC 120 T-Heads |
| The quantity of what the sample constitutes | 84 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Leslie | Last name of sampler or witnessed by | Guerrero |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 4242338040 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Headed Reinforcement Corp, Fountain Valley, CA | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L153-006-22 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 3111758 | Head Manufacturer Lot Number(s) | Lot 1, 2 |
| Rebar Size | #10 | Headed Bar Model Name | HRC 120 |
| Size of Head | Full Size - 9x | Head Connection Type | |
| Head Shape | Square | Rebar Manufacturer | CMC Steel Arizona |
| Head Manufacturer | Nucor | Head Fabricator | Headed Reinforcement Corp |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-02-25-2-1 ASTM A970-18 (Verified)
DIME Test ID: 2022-02-25-2-2 ASTM A970-18 (Verified)
DIME Test ID: 2022-02-25-2-3 ASTM A970-18 (Verified)
DIME Test ID: 2022-02-25-2-4 ASTM A970-18 (Verified)
DIME Test ID: 2022-02-25-2-5 ASTM A970-18 (Verified)
DIME Test ID: 2022-02-25-2-6 ASTM A970-18 (Verified)
