Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2020-02-24-18

Project Information

Project IdentifiersProject ID: 213583
DEA: 060H2004
EFIS: 0612000157
DIST-CO-RTE-PM06-TUL-201,216-12.5,21.2,18.7
Award Date11/29/2018
Closeout Date11/29/2021
Work DescriptionBRIDGE WIDENING, UPGRADE LANES AND OUTSIDE SHOULDERS.
Location DescriptionTULARE COUNTY NEAR CUTLER ON ROUTE 201 AT SAND CREEK BRIDGE AND AT FRIANT KERN CANAL BRIDGE AND NEAR WOODLAKE ON ROUTE 216 AT KAWEAH RIVER BRIDGE
QA Service Level1 (Verified on 09/25/2018)

Sample Information

Sample Taken Date02/24/2020 Sample Unique Key18
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 testing02/24/2020
Sample typeQuality Control A brief description of the sample#6 rebar 1'-6" dia welded hoops
The quantity of what the sample constitutes4 samples from lot 2A From where was the sample collectedFabricator
First name of sampler or witnessed byOsiel Last name of sampler or witnessed byRamirez
Title of samplerQuality Assurance Inspector Telephone number of sampler559-9740870
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) FormL123-044-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4094135
Hoop Manufacturer Lot Number(s)Lot 2A Material Standard CodeASTM A706
Material Grade60 Rebar Size6
Diameter of Hoop1'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel Arizona
Welding CompanyCMC Steel Etiwanda Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments