Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-02-07-1
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214355 DEA: 120K0214 EFIS: 1214000096 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-12.4/14.5 |
| Award Date | 12/20/2019 |
| Closeout Date | Not set |
| Work Description | South County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. | Add one lane btwn 73 & Oso PKWY |
| Location Description | ORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING |
| QA Service Level | 1 (Verified on 10/31/2019) |
Sample Information
| Sample Taken Date | 02/07/2023 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 02/09/2023 |
| Sample type | Quality Assurance | A brief description of the sample | #9 headed bar with grip-twist doughnut 10Ab |
| The quantity of what the sample constitutes | 10 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Jacob | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Telephone number of sampler | 3109128014 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Integrity Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L169-005-23 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 388922 | Head Manufacturer Lot Number(s) | 7Y1, 1W1 |
| Rebar Size | #9 | Headed Bar Model Name | 10A Taper Threaded DoughNUT Termination Syste |
| Size of Head | Full Size - 9x | Head Connection Type | Taper Threaded |
| Head Shape | Circular | Rebar Manufacturer | Cascade Steel |
| Head Manufacturer | Barsplice | Head Fabricator | Barsplice |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9TT-17-01 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-02-07-1-1 ASTM A970-18 (Verified)
DIME Test ID: 2023-02-07-1-2 ASTM A970-18 (Verified)
DIME Test ID: 2023-02-07-1-3 ASTM A970-18 (Verified)