Sample Record

DIME Sample ID 2021-02-03-3

Project Information

Project IdentifiersProject ID: 213653
DEA: 044G8204
EFIS: 0413000049
DIST-CO-RTE-PM04-MRN-101-10.6/10.8
Award Date05/05/2020
Closeout Date08/14/2023
Work DescriptionREPLACE SAN RAFAEL HARBOR BRIDGE (ABC)
Location DescriptionMARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET
QA Service Level1 (Verified on 05/31/2019)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date02/03/2021 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing02/05/2021 Sample typeQuality Control
A brief description of the sample#6 bar 1'-4" dia. hoops The quantity of what the sample constitutes12 hoops
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 sampler5599740870 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) FormL123-021-21
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)157720
Hoop Manufacturer Lot Number(s)Lots 1-3 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop1'-4" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar Manufacturercascade
Welding CompanyRKR Steel Welding Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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