Sample Record for 2024-07-19-32
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212800 DEA: 100G8304 EFIS: 1012000316
QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-152,140,152-Var
Work Description: MERCED SEISMIC RESTORATION
Location Description: IN MERCED COUNTY ON STATE ROUTES, 59, 140 AND 152 AT VARIOUS BRIDGES.
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: 11315 SUNRISE GOLD CIR. #A, RANCHO CORDOVA CA 95742
Resident Engineer: Jagga Dhami Structure Rep.: Natasha Collins
Sample Information
DIME Sample ID: 2024-07-19-32
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: 07/19/2024
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 900
A brief description of the sample: #5 1'-2" dia. welded hoop
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 4140160
Hoop Manufacturer Lot Number(s): 31-36
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #5
Diameter of Hoop: 1'-2"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Arizona
Welding Company: CMC Rebar San Bernardino
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
