Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-04-24-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994574 DEA: 050C7334 EFIS: 0518000116 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-1-10.5/13.4 |
| Award Date | 06/29/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs |
| Location Description | SANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/13/2023) |
Sample Information
| Sample Taken Date | 04/24/2024 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | #9 HRC 150 T-Heads |
| The quantity of what the sample constitutes | 16 Headed Bar | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | |
| 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 | L110-053-24 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Rebar Heat Number(s) | 9002025 | Head Manufacturer Lot Number(s) | 400000369222 |
| Rebar Size | #9 | Headed Bar Model Name | HRC 150 |
| Size of Head | Full Size - 9x | Head Connection Type | Friction Weld |
| Head Shape | Circular | Rebar Manufacturer | CMC Steel - Rancho Cucamonga |
| Head Manufacturer | Nucor Utah | Head Fabricator | HRC Fountain Valley |
| Material Standard Code | ASTM A706 | Headed Bar Unique ID | 9FW-17-04 |
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. | |||