Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-07-22-5

Project Information

Project IdentifiersProject ID: 995193
DEA: 07356604
EFIS: 0719000026
DIST-CO-RTE-PM07-LA-605-R10.2/20.2
Award Date04/04/2024
Closeout DateNot set
Work DescriptionLANE & SLAB REPLACEMENT, COLD PLANE & HMA OVERLAY.
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS, PICO RIVERA, WHITTIER, CITY OF INDUSTRY AND EL MONTE FROM TELEGRAPH ROAD UNDERCROSSING TO ROUTE 605/10 SEPARATION
QA Service Level1 (Verified on 10/03/2023)

Sample Information

Sample Taken Date07/22/2025 Sample Unique Key5
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 sampleA706 GR.60 #6 x 4'-8"x 5'-5" Oval Hoops
The quantity of what the sample constitutes110 hoops From where was the sample collectedFabricator
First name of sampler or witnessed byAlexis Last name of sampler or witnessed byMillan
Title of samplerQA Telephone number of sampler(909)756-9960
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTNT Rebar Company Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL191-005-25 Structure unique identifier07-356604
Structure nameLANE & SLAB REPLACEMENT, COLD PLANE & HMA OVERLAY Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)219925, 1202068856
Hoop Manufacturer Lot Number(s)1 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop4'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade, Nucor
Welding CompanyTNT Rebar Company Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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