Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-04-21-2

Project Information

Project IdentifiersProject ID: 994326
DEA: 051C3604
EFIS: 0512000134
DIST-CO-RTE-PM05-SB-217-0.9/1.4
Award Date01/31/2023
Closeout DateNot set
Work DescriptionREPLACE BRIDGE.
Location DescriptionSANTA BARBARA COUNTY NEAR GOLETA FROM 0.2 MILE EAST OF GOLETA SLOUGH BRIDGE TO 0.4 MILE EAST OF SAN JOSE CREEK BRIDGE
QA Service Level1 (Verified on 10/17/2022)

Sample Information

Sample Taken Date04/21/2025 Sample Unique Key2
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 testingNot set
Sample typeQuality Control A brief description of the sampleFlash Welded Rebar Hoops
The quantity of what the sample constitutes52 of 1934 From where was the sample collectedFabricator
First name of sampler or witnessed byAlex Last name of sampler or witnessed byTemme
Title of samplerQA Telephone number of sampler415-238-5839
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRKR Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL180-004-25 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)173522
Hoop Manufacturer Lot Number(s)35 thru 47 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop2'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade
Welding CompanyRKR Steel Welding Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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