Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-07-23-3

Project Information

Project IdentifiersProject ID: 994574
DEA: 050C7334
EFIS: 0518000116
DIST-CO-RTE-PM05-SCR-1-10.5/13.4
Award Date06/29/2023
Closeout DateNot set
Work DescriptionCONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs
Location DescriptionSANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING
QA Service Level1 (Verified on 04/13/2023)

Sample Information

Sample Taken Date07/23/2025 Sample Unique Key3
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 sampleASTM A706 #6 2'0" diameter Ultimate Splice Hoops
The quantity of what the sample constitutes44 From where was the sample collectedFabricator
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of sampler Telephone number of sampler7073428602
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) FormL110-015-25 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)095224
Hoop Manufacturer Lot Number(s)Lot no. 1 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop2'-0" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade
Welding CompanyTNT Rebar Company Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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