Sample Record
Owner Lab
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2023-07-28-10
Project Information
Project Identifiers | Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169 |
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DIST-CO-RTE-PM | 05-SB-101-4.4/R7.7 |
Award Date | 03/01/2021 |
Closeout Date | Not set |
Work Description | Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B. |
Location Description | 101 freeway in Summerland, CA |
QA Service Level | 1 (Verified on 05/06/2021) |
Sample Information
Sample Taken Date | 07/28/2023 | Sample Unique Key | 10 |
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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 | 08/02/2023 |
Sample type | Quality Assurance | A brief description of the sample | HRC 120 T-Heads |
The quantity of what the sample constitutes | 60 | From where was the sample collected | Source |
First name of sampler or witnessed by | William | Last name of sampler or witnessed by | Clifford |
Title of sampler | QA Inspector | Telephone number of sampler | 7142674733 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Headed Reinforcement Corp, Fountain Valley, CA | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L78-037-23 | 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) | 4129800 | Head Manufacturer Lot Number(s) | 100021963642 |
Rebar Size | #8 | Headed Bar Model Name | HRC 120 |
Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
Head Shape | Square | Rebar Manufacturer | CMC Rebar |
Head Manufacturer | Nucor | Head Fabricator | HRC Fountain Valley |
Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9FW-17-03 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-07-28-10-1 ASTM A970-18 (Verified)
DIME Test ID: 2023-07-28-10-2 ASTM A970-18 (Verified)
DIME Test ID: 2023-07-28-10-3 ASTM A970-18 (Verified)