Sample Record

DIME Sample ID 2022-03-14-2

Project Information

Project IdentifiersProject ID: 215188
DEA: 080F5434
EFIS: 0817000239
Permit Numbers: 0823NMC0369
DIST-CO-RTE-PM08-RIV-I-15,SR-91-6.1-7.6
Award Date03/11/2020
Closeout Date06/05/2024
Work DescriptionI-15 ELC: 15/91 Express Lanes Connector Project (ELC)
Location DescriptionJunction of I-15 and SR-91 in Corona, CA
QA Service Level1 (Verified on 09/16/2020)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date03/14/2022 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sampleUltimate Welded Hoops The quantity of what the sample constitutes40 of 1464
From where was the sample collectedFabricator First name of sampler or witnessed byHitesh
Last name of sampler or witnessed byPatel Title of samplerQuality Assurance Inspector
Telephone number of sampler9168691602 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC Rebar San Bernardino
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL131-051-22
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)4112803
Hoop Manufacturer Lot Number(s)1 thru 10 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop2'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Rebar
Welding CompanyCMC Rebar San Bernardino Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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