Sample Record

DIME Sample ID 2019-11-08-1

Project Information

Project IdentifiersProject ID: 212914
DEA: 031E0604
EFIS: 0312000068
DIST-CO-RTE-PM03-YUB-70-15.5/16.5
Award Date07/31/2019
Closeout Date08/30/2023
Work DescriptionSIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055.
Location DescriptionNEAR 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 Level1 (Verified on 08/22/2019)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date11/08/2019 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sampleFlash Wleded Hoops The quantity of what the sample constitutes990 hoops, 7 lots
From where was the sample collectedManufacturer First name of sampler or witnessed byDavid Weeks
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 nameCMC Etiwanda
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL79-185-19
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)9001954
Hoop Manufacturer Lot Number(s)25 and 29 Material Standard CodeASTM A706
Material Grade60 Rebar Size8
Diameter of Hoop8'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC
Welding CompanyCMC Etiwanda Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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