Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-05-05-26
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Project Information
| Project Identifiers | Project ID: 1001543 DEA: 072XT804 EFIS: 0726000007 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-36 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Bridge Hit |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 08/26/2025) |
Sample Information
| Sample Taken Date | 05/05/2026 | Sample Unique Key | 26 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 05/12/2026 |
| Sample type | Quality Control | A brief description of the sample | #11 Service Splice |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | JAYCE | Last name of sampler or witnessed by | GROVES |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | West Coast Welding | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L196-052-26 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Service | Rebar Heat Number(s) | 9005628 |
| Hoop Manufacturer Lot Number(s) | N/A | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #11 |
| Diameter of Hoop | 4'-6" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Cascade, CMC |
| Welding Company | West Coast Welding | Coating Standards | Uncoated |
| Weld Type | Stick Welded |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2026-05-05-26-1 CTM 670-December 2013 (Verified)