Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-07-29-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212896 DEA: 04160304 EFIS: 0400000429 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-84-13.1/13.5 |
| Award Date | 12/15/2020 |
| Closeout Date | Not set |
| Work Description | NILES CANYON ALAMEDA CREEK BRIDGE REPLACEMENT |
| Location Description | IN FREMONT, AT ALAMEDA CREEK BRIDGE (BR 33-0036). |
| QA Service Level | 1 (Verified on 09/16/2019) |
Sample Information
| Sample Taken Date | 07/29/2022 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 07/29/2022 |
| Sample type | Quality Control | A brief description of the sample | #5 HRC 120 T-heads |
| The quantity of what the sample constitutes | 258 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 6466327821 |
| 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 | L134-029-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 6032268 | Head Manufacturer Lot Number(s) | 1, 2, 3, 4 |
| Rebar Size | #5 | Headed Bar Model Name | HRC120 |
| Size of Head | Full Size - 9x | Head Connection Type | |
| Head Shape | Square | Rebar Manufacturer | CMC Fontana |
| Head Manufacturer | HRC Fountain Valley | Head Fabricator | HRC Fountain Valley |
| 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. | |||