Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-05-18-2
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Project Information
| Project Identifiers | Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-4.4/R7.7 |
| Award Date | 03/01/2021 |
| Closeout Date | Not set |
| Work Description | Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B. |
| Location Description | 101 freeway in Summerland, CA |
| QA Service Level | 1 (Verified on 05/06/2021) |
Sample Information
| Sample Taken Date | 05/18/2022 | 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 | 05/23/2022 |
| Sample type | Quality Assurance | A brief description of the sample | HRC 150 T-Heads |
| The quantity of what the sample constitutes | 136 | 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 | L153-016-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 3113073 | Head Manufacturer Lot Number(s) | 4 |
| Rebar Size | #9 | Headed Bar Model Name | HRC 150 |
| Size of Head | Full Size - 9x | Head Connection Type | |
| Head Shape | Circular | Rebar Manufacturer | CMC Steel Texas |
| Head Manufacturer | HRC | Head Fabricator | Nucor |
| 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: 2022-05-18-2-1 ASTM A970-18 (Verified)
DIME Test ID: 2022-05-18-2-2 ASTM A970-18 (Verified)
DIME Test ID: 2022-05-18-2-3 ASTM A970-18 (Verified)