Sample Record

DIME Sample ID 2020-12-10-11

Project Information

Project IdentifiersProject ID: 213469
DEA: 024C40V4
EFIS: 0218000125
DIST-CO-RTE-PM02-SHA-5-R3.8/R11.7
Award Date11/06/2018
Closeout Date08/16/2023
Work DescriptionWIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location DescriptionSHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date12/10/2020 Sample Unique Key11
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sample#8 (4'-2") The quantity of what the sample constitutes140
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) FormL134-290-20
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)4098936
Hoop Manufacturer Lot Number(s)27 Material Standard CodeASTM A706
Material Grade60 Rebar Size#8
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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