Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-02-23-4
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214337 DEA: 080E33U4 EFIS: 0817000075 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-115-R7.3/R10.0 |
| Award Date | 04/26/2021 |
| Closeout Date | 06/09/2025 |
| Work Description | ADD WB AUX & EB DECEL LANES, WIDEN I15 SW CONNECT,RAMPS/BRDG |
| Location Description | SAN BERNARDINO COUNTY IN ONTARIO FROM 0.2 MILE WEST OF CUCAMONGA CREEK BRIDGE TO MILLIKEN AVENUE |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 02/23/2022 | Sample Unique Key | 4 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 02/25/2022 |
| Sample type | Quality Assurance | A brief description of the sample | #6 hoop 2'-6" diameter |
| The quantity of what the sample constitutes | 8 hoops from lot 1 and 3 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 5599740870 |
| 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 | L123-006-22 | 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) | 1201036646 |
| Hoop Manufacturer Lot Number(s) | Lot 1 and 3 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #6 |
| Diameter of Hoop | 2'-6" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Nucor |
| Welding Company | RKR Steel Welding | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-02-23-4-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-02-23-4-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-02-23-4-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-02-23-4-4 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-02-23-4-5 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-02-23-4-6 CTM 670-December 2013 (Verified)
