Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2022-04-19-3

Project Information

Project IdentifiersProject ID: 993235
DEA: 051H4504
EFIS: 0516000075
DIST-CO-RTE-PM05-SB-154-R31.8/R32.1
Award Date11/22/2021
Closeout Date07/31/2024
Work DescriptionCONSTRUCT CIDH CONCRETE PILES AND STRUCTURAL CONCRETE BRIDGE.
Location DescriptionSANTA BARBARA COUNTY IN AND NEAR SANTA BARBARA FROM PRIMAVERA ROAD UNDERCROSSING TO LA COLINA ROAD UNDERCROSSING
QA Service Level1 (Verified on 10/06/2021)

Sample Information

Sample Taken Date04/19/2022 Sample Unique Key3
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 testing04/19/2022
Sample typeQuality Control A brief description of the sample4'-2" diameter hoops RETEST Lot #2
The quantity of what the sample constitutes146 From where was the sample collectedFabricator
First name of sampler or witnessed bySherri Last name of sampler or witnessed byBrannon
Title of samplerCT METS QA INSPECTOR Telephone number of sampler9168266371
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartinez steel Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)324021
Hoop Manufacturer Lot Number(s)2 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop4'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade Steel
Welding CompanyMartinez Steel Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments