Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-05-20-13

Project Information

Project IdentifiersProject ID: 1000970
DEA: 031J6304
EFIS: 0321000023
DIST-CO-RTE-PM03-SAC-99-6.04/7.06
Award DateNot set
Closeout DateNot set
Work DescriptionWILLOW SLOUGH REPLACEMENT
Location DescriptionSACRAMENTO COUNTY NEAR ELK GROVE FROM 0.2 MILE NORTH OF ARNO ROAD TO 0.4 MILE SOUTH OF DILLARD ROAD
QA Service Level1 (Verified on 02/13/2025)

Sample Information

Sample Taken Date05/20/2026 Sample Unique Key13
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 sample#6 x1'-6" diameter welded hoops
The quantity of what the sample constitutes2,266 hoops From where was the sample collectedFabricator
First name of sampler or witnessed byJacob Last name of sampler or witnessed byGarcia
Title of samplerQuality Assurance Inspector Telephone number of sampler7606866753
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar San Bernardino Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL169-068-26 Structure unique identifier
Structure name Bid Item76 - BAR REINFORCING STEEL (BRIDGE)

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4158451
Hoop Manufacturer Lot Number(s)Lots 1 thru 16 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop1'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel Arizona
Welding CompanyCMC Rebar San Bernardino Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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