Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-01-04-12
Project Information
| Project Identifiers | Project ID: 211777 DEA: 04209504 EFIS: 0412000116 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN,SON-1-50.2/50.5,0.0/0.2 |
| Award Date | 01/04/2017 |
| Closeout Date | 10/21/2019 |
| Work Description | REPLACE ESTERO BRIDGE AND REALIGN APPROACHING ROADWAY; Bridge No. 27-0121 |
| Location Description | MARIN AND SONOMA COUNTIES NEAR VALLEY FORD FROM 0.4 MILE SOUTH OF ESTERO AMERICANO BRIDGE TO 0.2 MILE NORTH OF ESTERO AMERICANO BRIDGE |
| QA Service Level | 1 (Verified on 01/17/2017) |
Sample Information
| Sample Taken Date | 01/04/2018 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | Flash Welded Hoops |
| The quantity of what the sample constitutes | 1 lot | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Russell | Last name of sampler or witnessed by | Lynch |
| Title of sampler | QAI | Telephone number of sampler | (213) 538-8219 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | TNT Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L96-002-18 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Rebar Heat Number(s) | PL17107099 |
| Hoop Manufacturer Lot Number(s) | Lot 11 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | 8 |
| Diameter of Hoop | 3'-2" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Nucor |
| Welding Company | TNT Rebar | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-01-04-12-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2018-01-04-12-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2018-01-04-12-3 CTM 670-December 2013 (Verified)
