Sample Record for 2024-04-02-3
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994875 DEA: 101F1804 EFIS: 1016000077
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-4-R16.0/R19.4
Work Description: BRIDGE WORK, CONCRETE BARRIER, AND INSTALL RAMP METER SYSTEM.
Location Description: SAN JOAQUIN COUNTY IN STOCKTON AT VARIOUS LOCATIONS FROM 0.3 MILE EAST OF ROUTE 4/5 SEPARATION TO 0.4 MILE WEST OF ROUTE 4/99 SEPARATION
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. Box 1508, Rancho Cordova, CA 95741
Resident Engineer: Troy Scheiber Structure Rep.: Ron Matin
Sample Information
DIME Sample ID: 2024-04-02-3
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: 04/02/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/03/2024
The quantity of what the sample constitutes: 20 Samples from lots 1-5
A brief description of the sample: #8 x 4'-3"
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar San Bernadino
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 9001785, 4135333
Hoop Manufacturer Lot Number(s): Lots 1-5
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #8
Diameter of Hoop: 4'-3"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Steel Arizona
Welding Company: CMC Rebar San Bernardino
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
