Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2020-01-06-22

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout Date08/01/2023
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date01/06/2020 Sample Unique Key22
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sample#6 x 2'-10" diameter hoops The quantity of what the sample constitutes150
From where was the sample collectedFabricator First name of sampler or witnessed bySteve
Last name of sampler or witnessed byHall Title of samplerCT METS QA INSPECTOR
Telephone number of sampler6466327821 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameRKR Steel Welding
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL134-002-20
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)9000799
Hoop Manufacturer Lot Number(s)28 Material Standard CodeASTM A706
Material Grade60 Rebar Size6
Diameter of Hoop2'-10" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel CA
Welding CompanyRKR Steel Welding Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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