Sample Record

DIME Sample ID 2019-11-27-3

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

Sample Information

Sample Taken Date11/27/2019 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing12/02/2019 Sample typeQuality Control
A brief description of the sample#7 Welded Hoops 6'2" Diameter The quantity of what the sample constitutes4
From where was the sample collectedSource First name of sampler or witnessed byFrederic
Last name of sampler or witnessed byAboujaoude Title of sampler
Telephone number of sampler 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) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingAuthorization Testing
Service or UltimateUltimate Rebar Heat Number(s)4091502
Hoop Manufacturer Lot Number(s)3, 4, 5 Material Standard CodeASTM A615
Material Grade60 Rebar Size7
Diameter of Hoop6'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Etiwanda
Welding CompanyUnkown Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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