Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-06-07-7
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 213337 DEA: 024F5404 EFIS: 0213000004 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-R15.3/R16.5 |
| Award Date | 07/30/2018 |
| Closeout Date | 05/23/2022 |
| Work Description | BRIDGE REPLACEMENT - SOUTHBOUND ONLY |
| Location Description | SISKIYOU COUNTY NEAR WEED FROM 0.1 MILE SOUTH OF DEETZ ROAD UNDERCROSSING TO 0.6 MILE NORTH OF BLACK BUTTE OVERHEAD 02-0004L |
| QA Service Level | 1 (Verified on 11/14/2018) |
Sample Information
| Sample Taken Date | 06/07/2019 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 06/10/2019 |
| Sample type | Quality Assurance | A brief description of the sample | # 7 resistance butt welded hoops |
| The quantity of what the sample constitutes | 300 pieces | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Ed | Last name of sampler or witnessed by | Fleming |
| Title of sampler | TET | Telephone number of sampler | 707-310-2019 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Harris Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B10-158-19 | Structure unique identifier | 04-butte |
| Structure name | 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) | 3500000201 |
| Hoop Manufacturer Lot Number(s) | H01,H02 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | 7 |
| Diameter of Hoop | 3'-8" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Nucor |
| Welding Company | Harris 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: 2019-06-07-7-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-06-07-7-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-06-07-7-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-06-07-7-4 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-06-07-7-5 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-06-07-7-6 CTM 670-December 2013 (Verified)
