Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-05-22-6

Project Information

Project IdentifiersProject ID: 993678
DEA: 042Q8004
EFIS: 0419000050
COOP: 042836,042944
DIST-CO-RTE-PM04-SM-101,92-US 101 & SR 92-10.9/12.1 & 11.8/13.4
Award Date01/22/2025
Closeout DateNot set
Work DescriptionUS 101/SR 92 INTERCHANGE AREA IMPROVEMENT :PROJECT WILL CONSTRUCT CONGESTION RELIEF IMPROVEMENTS AT THE US 101/SR 92 INTERCHANGE AREA.
Location DescriptionNot set
QA Service Level1 (Verified on 09/15/2022)

Sample Information

Sample Taken Date05/22/2025 Sample Unique Key6
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 constitutes32 of 1200 From where was the sample collectedFabricator
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQA Telephone number of sampler7029172503
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTNT Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-056-25 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)4147944
Hoop Manufacturer Lot Number(s)Lot 1 thru Lot 8 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop2'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Arizona
Welding CompanyTNT Rebar, Co. Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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