DIME - Sample Record for DIME Sample ID 2022-09-01-12

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Sample Record

Owner Lab

CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-09-01-12

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Project Information

Project Identifiers	Project ID: 212720 DEA: 07291404 EFIS: 0712000094
DIST-CO-RTE-PM	07-LA-1-55-58
Award Date	02/18/2021
Closeout Date	Not set
Work Description	TRANCAS CREEK BRIDGE REPLACEMENT
Location Description	IN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027).
QA Service Level	1 (Verified on 04/02/2021)

Sample Information

Sample Taken Date	09/01/2022	Sample Unique Key	12
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	09/08/2022
Sample type	Quality Assurance	A brief description of the sample	#11 HRC 120 T-head
The quantity of what the sample constitutes	14	From where was the sample collected	Fabricator
First name of sampler or witnessed by	Henry	Last name of sampler or witnessed by	Arredondo
Title of sampler	CT METS QA INSPECTOR	Telephone number of sampler	5623329603
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	HRC- Fountain Valley	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	SMTL TM5 - Headed Bars	Production or Authorization Testing	Production Testing
Rebar Heat Number(s)	3115873	Head Manufacturer Lot Number(s)	1
Rebar Size	#11	Headed Bar Model Name	HRC 120 T Heads
Size of Head	Reduced Size - 4x	Head Connection Type	Friction Weld
Head Shape	Square	Rebar Manufacturer	CMC Steel Texas
Head Manufacturer	Nucor Utah	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
2022-09-01-12-1	ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	spaine, CT HQ - Sacramento Structural Materials Testing Laboratory	09/15/2022	spaine	Yes	09/15/2022	ok necking
2022-09-01-12-2	ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	spaine, CT HQ - Sacramento Structural Materials Testing Laboratory	09/15/2022	spaine	Yes	09/15/2022	ok necking
2022-09-01-12-3	ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)	spaine, CT HQ - Sacramento Structural Materials Testing Laboratory	09/15/2022	spaine	Yes	09/15/2022	ok necking

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2022-09-01-12-1 ASTM A970-18 (Verified)
DIME Test ID: 2022-09-01-12-2 ASTM A970-18 (Verified)
DIME Test ID: 2022-09-01-12-3 ASTM A970-18 (Verified)