Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-03-10-6
Project Information
Project Identifiers | Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 |
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DIST-CO-RTE-PM | 08-SBD-10-0.0/13.2 |
Award Date | 06/06/2018 |
Closeout Date | Not set |
Work Description | Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes |
Location Description | LA/SBD County Line to PM 13.2 near I-15 |
QA Service Level | 1 (Verified on 10/16/2019) |
Sample Information
Sample Taken Date | 03/10/2023 | Sample Unique Key | 6 |
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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 | 03/10/2023 |
Sample type | Quality Control | A brief description of the sample | #10 HRC 120 T-Head |
The quantity of what the sample constitutes | 8 total #10 HRC 120 T-Heads | 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 | Caltrans 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 | L166-025-23 | 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) | 4124053 | Head Manufacturer Lot Number(s) | 100011821241 |
Rebar Size | #10 | Headed Bar Model Name | HRC 120 T Heads |
Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
Head Shape | Square | Rebar Manufacturer | CMC Steel Arizona |
Head Manufacturer | nucor cold finish utah | 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. |