Sample Record

DIME Sample ID 2019-07-26-11

Project Information

Project IdentifiersProject ID: 212501
DEA: 022E4804
EFIS: 0200000586
DIST-CO-RTE-PM02-SIS-96,263-103.1/103.6,56.8/57.2
Award Date12/14/2018
Closeout Date12/01/2021
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionSISKIYOU COUNTY ABOUT 8 MILES NORTH OF YREKA ON ROUTE 96 FROM 0.5 MILE WEST TO 0.2 MILE EAST OF ROUTE 263 AND ON ROUTE 263 FROM 0.3 MILE NORTH OF SHASTA RIVER BRIDGE #02-0014 TO ROUTE 96
QA Service Level1 (Verified on 06/06/2017)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date07/26/2019 Sample Unique Key11
Date that the sample was received by the laboratory/organization performing the testing08/07/2019 Sample typeQuality Control
A brief description of the sample#6 A706 2'-5" diameter Hoops The quantity of what the sample constitutesLot 1 and 6 300 Total
From where was the sample collectedFabricator First name of sampler or witnessed byDavid
Last name of sampler or witnessed byWeeks Title of samplerASI
Telephone number of sampler310-883-8369 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameTNT Rebar
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL79-168-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)1201014208
Hoop Manufacturer Lot Number(s)Lot 1 and Lot 6 Material Standard CodeASTM A706
Material Grade60 Rebar Size6
Diameter of Hoop2'-5" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
Welding CompanyTNT Rebar Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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