Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-03-08-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-I-15,SR-91-6.1-7.6 |
| Award Date | 03/11/2020 |
| Closeout Date | Not set |
| 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 | 03/08/2023 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 03/08/2023 |
| Sample type | Quality Control | A brief description of the sample | HRC 150 T-Heads |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Timber | Last name of sampler or witnessed by | Loveland |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 4355538344 |
| 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 | L170-038-23 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 3120315 | Head Manufacturer Lot Number(s) | 1 |
| Rebar Size | #11 | Headed Bar Model Name | HRC 120 T Heads |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Square | Rebar Manufacturer | HRC |
| Head Manufacturer | HRC | Head Fabricator | HRC |
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||