Sample Record
Owner Labs
- Sequoia Consultants
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-01-10-4
Project Information
Project Identifiers | Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369 |
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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 | 01/10/2023 | Sample Unique Key | 4 |
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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 | #10 HRC 120 |
The quantity of what the sample constitutes | 270 | From where was the sample collected | Fabricator |
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 | 949-350-3970 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L134-003-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
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Rebar Heat Number(s) | 4124080 | Head Manufacturer Lot Number(s) | 1 and 2 |
Rebar Size | #10 | Headed Bar Model Name | HRC 120 |
Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
Head Shape | Square | Rebar Manufacturer | CMC Steel Arizona |
Head Manufacturer | HRC Fountain Valley | Head Fabricator | HRC Fountain Valley |
Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9FW-17-03 |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |