Sample Record for 2019-12-27-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 211260 DEA: 072159U4 EFIS: 0715000160
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,ORA-5-0.0/1.5, 44.3/44.4
Work Description: CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description: LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 TOWNSGATE RD. SUITE 200, WESTLAKE VILLAGE, CA 91361
Resident Engineer: George Saker Structure Rep.: Danny Lalonde
Sample Information
DIME Sample ID: 2019-12-27-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 12/27/2019
Date that the sample was received by the laboratory/organization performing the testing: 12/30/2019
The quantity of what the sample constitutes: 12 samples from lot 11-13
A brief description of the sample: #6x 2'-10" hoops
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RKR Steel Welding
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Rebar Heat Number(s): 9000017
Hoop Manufacturer Lot Number(s): LOTs 11-13
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 6
Diameter of Hoop: 2'-10"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Steel California
Welding Company: RKR Steel Welding
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
