Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-03-03-4
Project Information
| Project Identifiers | Project ID: 212657 DEA: 024G5004 EFIS: 0214000031 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-299-1.9-2.3 |
| Award Date | 10/01/2019 |
| Closeout Date | 11/24/2021 |
| Work Description | VIADUCT WIDENING |
| Location Description | TRINITY COUNTY NEAR SALYER FROM 0.1 MILE EAST TO 0.6 MILE EAST OF WHITE HOUSE GULCH ROAD |
| QA Service Level | 1 (Verified on 09/04/2018) |
Sample Information
| Sample Taken Date | 03/03/2020 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 03/13/2020 |
| Sample type | Quality Control | A brief description of the sample | (40) 1'-6" Ø Hoops |
| The quantity of what the sample constitutes | 4 samples from Lot 1 to 10 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Rigoberto | Last name of sampler or witnessed by | Marin |
| Title of sampler | QA Inspector | Telephone number of sampler | 9515000685 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | RKR Steel Welding | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L133-047-20 | 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) | 3093021 |
| Hoop Manufacturer Lot Number(s) | Lot 1 to 10 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | 6 |
| Diameter of Hoop | 1'-6" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | CMC Steel CA |
| Welding Company | RKR Steel Welding | 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. | |||
