Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2017-02-16-4

Project Information

Project IdentifiersProject ID: 211950
DEA: 101E0504
EFIS: 1016000014
MINOR: 10A1823
DIST-CO-RTE-PM10--12-6.3
Award DateNot set
Closeout Date12/28/2022
Work DescriptionInstall Flashing Beacons
Location DescriptionIn Calaveras County
QA Service Level1 (Verified on 01/03/2017)

Sample Information

Sample Taken Date02/16/2017 Sample Unique Key4
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 testing02/16/2017
Sample typeQuality Control A brief description of the sampleUltimate Butt Splice
The quantity of what the sample constitutes34 From where was the sample collectedFabricator
First name of sampler or witnessed byJames Last name of sampler or witnessed byDoe
Title of samplerCALTRANS METS QA INSPECTOR Telephone number of sampler(510) 918-4918
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHarris Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB358-008-17 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)582535
Hoop Manufacturer Lot Number(s)H01 Material Standard CodeASTM A706
Material Grade60 Rebar Size4
Diameter of Hoop2'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerEvraz
Welding CompanyHarris Rebar Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments