Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-03-08-2
Project Information
| Project Identifiers | Project ID: 214342 DEA: 081F9904 EFIS: 0815000095 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-40.1/40.5 |
| Award Date | 06/15/2020 |
| Closeout Date | 08/02/2021 |
| Work Description | LENGTHEN ACCELERATION LANE |
| Location Description | VICTORVILLE FROM 0.5 MILE TO 0.1 MILE SOUTH OF PALMDALE ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 10/06/2020) |
Sample Information
| Sample Taken Date | 03/08/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Control | A brief description of the sample | #7 2'-0" diameter welded hoops |
| The quantity of what the sample constitutes | 170 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 6466327821 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Etiwanda | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L134-037-21 | 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) | 4103611 |
| Hoop Manufacturer Lot Number(s) | Lot 1 and 2 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #7 |
| Diameter of Hoop | 2'-0" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | CMC Arizona |
| Welding Company | CMC Rebar (Etiwanda) | 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. | |||
