Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2026-01-12-3

Project Information

Project IdentifiersProject ID: 1001075
DEA: 040W0304
EFIS: 0420000164
DIST-CO-RTE-PM04-CC-580-0.02/6.3
Award Date10/16/2025
Closeout DateNot set
Work DescriptionReplace existing tolling structure with open road tolling (ORT) system at the Richmond-San Rafael.
Location DescriptionNot set
QA Service Level1 (Verified on 03/13/2025)

Sample Information

Sample Taken Date01/12/2026 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 Assurance A brief description of the sample5'-2" dia. hoops
The quantity of what the sample constitutes1 Lot of 129 From where was the sample collectedFabricator
First name of sampler or witnessed bySherri Last name of sampler or witnessed byBrannon
Title of samplerAso Steel Inspector Telephone number of sampler9168266371
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameConco Companies Benicia Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB22-003-26 Structure unique identifier
Structure nameToll Plaza Reconfiguration Bid Item53 - BAR REINFORCING STEEL (BRIDGE)

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4151011
Hoop Manufacturer Lot Number(s)H02 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop5'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel AZ
Welding CompanyConco Companies Benicia Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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