Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-04-29-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993235 DEA: 051H4504 EFIS: 0516000075 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-154-R31.8/R32.1 |
| Award Date | 11/22/2021 |
| Closeout Date | 07/31/2024 |
| Work Description | CONSTRUCT CIDH CONCRETE PILES AND STRUCTURAL CONCRETE BRIDGE. |
| Location Description | SANTA BARBARA COUNTY IN AND NEAR SANTA BARBARA FROM PRIMAVERA ROAD UNDERCROSSING TO LA COLINA ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/06/2021) |
Sample Information
| Sample Taken Date | 04/29/2022 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | (8) 9TT-17-01 Lot 1 & 2 |
| The quantity of what the sample constitutes | (152) 10A (Taper Threaded DoughNUT Termination System) | 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 | Martinez steel | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L133-032-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 068222 | Head Manufacturer Lot Number(s) | Lot 1 Heat No A205893 Lot 2 Heat No A211864 |
| Rebar Size | #14 | Headed Bar Model Name | 14TDX GripTwist Doughnut 10ab |
| Size of Head | Full Size - 9x | Head Connection Type | Taper Threaded |
| Head Shape | Circular | Rebar Manufacturer | Cascade Steel |
| Head Manufacturer | Barsplice | Head Fabricator | Martinez Steel |
| 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. | |||