Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-09-27-1
Project Information
| Project Identifiers | Project ID: 212914 DEA: 031E0604 EFIS: 0312000068 |
|---|---|
| DIST-CO-RTE-PM | 03-YUB-70-15.5/16.5 |
| Award Date | 07/31/2019 |
| Closeout Date | 08/30/2023 |
| Work Description | SIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055. |
| Location Description | NEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019. |
| QA Service Level | 1 (Verified on 08/22/2019) |
Sample Information
| Sample Taken Date | 09/27/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Control | A brief description of the sample | #8 8'-8" dia. rebar hoops |
| The quantity of what the sample constitutes | 736 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 6466327821 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Rebar Etiwanda | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L134-091-19 | 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 | Ultimate | Rebar Heat Number(s) | 4088908 |
| Hoop Manufacturer Lot Number(s) | 1 2 3 4 5 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | 8 |
| Diameter of Hoop | 8'-8" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | CMC Arizona |
| Welding Company | CMC Rebar (Etiwanda) | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
