Sample Record

DIME Sample ID 2018-10-22-6

Project Information

Project IdentifiersProject ID: 211778
DEA: 04235654
EFIS: 0400000680
DIST-CO-RTE-PM04-SM-101,114-1.3/2.5,5.0/5.3
Award Date02/10/2017
Closeout Date01/08/2020
Work DescriptionRECONSTRUCT INTERCHANGE
Location DescriptionSAN MATEO COUNTY AT VARIOUS LOCATIONS ON ROUTE 101 FROM 0.4 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.6 MILE SOUTH OF HENDERSON UNDERPASS AND ON ROUTE 114 FROM WILLOW ROAD SEPARATION TO NEWBRIDGE STREET
QA Service Level1 (Verified on 10/24/2016)

Owner Lab

  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date10/22/2018 Sample Unique Key6
Date that the sample was received by the laboratory/organization performing the testing10/23/2018 Sample typeQuality Assurance
A brief description of the sampleRebar Hoops The quantity of what the sample constitutes159
From where was the sample collectedSource First name of sampler or witnessed byEdward
Last name of sampler or witnessed byLeach Title of samplerQA Inspector
Telephone number of samplerUnknown Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameCMC Rebar
Transportation Laboratory (TL) NumberUnknown Inspector Lot Number from the Transportation Laboratory (TL) FormS38-103-18
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingAuthorization Testing
Service or UltimateService Rebar Heat Number(s)4073641
Hoop Manufacturer Lot Number(s)1 Material Standard CodeASTM A706
Material Grade60 Rebar Size8
Diameter of Hoop4'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Rebar
Welding CompanyCMC Rebar (Tracy) Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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