Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215456 DEA: 07293604 EFIS: 0713000238
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-405-14.3/15.8
Work Description: CONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS.
Location Description: LOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 CUSHING SUITE 200, IRVINE CA 92618
Resident Engineer: Samuel Gallardo Structure Rep.: James Holloway
DIME Sample ID: 2022-03-24-2
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: Verification
Type of Material: SMTL TM6 - Steel Check Sample Plate
Sample Taken Date: 03/24/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/28/2022
The quantity of what the sample constitutes: Unknown Quantity
A brief description of the sample: (QTY 2) 3/8" x 6" x 18" flatbar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mobile Pipe Lining
Heat Number(s): 1201033617
Material Specification: A36
Grade: 36
Thickness: .375"
Shape: Rectangle
Metal Foundry Manufacturer (Mill): Nucor
Plate Dimension: 6" x 18" (QTY 2)
DIME Test ID: 2022-03-24-2-1
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Flat Sample)
Verified Date: 04/13/2022
Date Tested: 04/06/2022
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Number of Samples
|
2
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| Sample | Heat Number | Width (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Total Elongation (%) | Tested By | | 1 | 1201033617 | 0.502 | 0.18323 | 52716 | 74650 | 34.17 | spaine | | 2 | 1201033617 | 0.501 | 0.18286 | 50956 | 74178 | 33.73 | spaine |
| |
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UTM
|
67KIP
|
|
Temperature
|
72 f
|
