Sample Record

DIME Sample ID 2020-10-14-11

Project Information

Project IdentifiersProject ID: 214909
DEA: 120N8604
EFIS: 1214000123
DIST-CO-RTE-PM12-ORA-73-23.7/24.1
Award Date06/25/2020
Closeout Date01/09/2023
Work DescriptionREPLACE STRUCTURAL CONCRETE BRIDGE & RETAINING WALL; & PLACE HMA.
Location DescriptionORANGE COUNTY IN NEWPORT BEACH FROM 0.3 MILE NORTH OF BISON AVENUE TO 0.3 MILE SOUTH OF UNIVERSITY DRIVE
QA Service Level1 (Verified on 07/21/2020)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/14/2020 Sample Unique Key11
Date that the sample was received by the laboratory/organization performing the testing10/16/2020 Sample typeQuality Control
A brief description of the sample#7 rebar hoops, 4'-2" diameter The quantity of what the sample constitutes1 lot total 50 hoops
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 nameCMC Etiwanda
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL134-247-20
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)4099893
Hoop Manufacturer Lot Number(s)Lot 1 Material Standard CodeASTM A706
Material Grade60 Rebar Size#7
Diameter of Hoop4'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel AZ
Welding CompanyCMC Rebar (Etiwanda) Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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