Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-09-28-2

Project Information

Project IdentifiersProject ID: 993835
DEA: 033F0734
EFIS: 0322000011
DIST-CO-RTE-PM03-SAC-51-2.0/3.5
Award Date06/29/2022
Closeout DateNot set
Work DescriptionDredge, construct in-water foundation
Location DescriptionNot set
QA Service Level1 (Verified on 05/09/2022)

Sample Information

Sample Taken Date09/28/2022 Sample Unique Key2
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 testing09/30/2022
Sample typeQuality Control A brief description of the sample#6 bar 3'-4" diam.
The quantity of what the sample constitutes12 samples from lot 1and 3 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 sampler(562) 360-5216
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL123-102-22 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)4122058
Hoop Manufacturer Lot Number(s)Lot 1-3 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop3'-4" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel Arizona
Welding CompanyCMC Rebar San Bernardino Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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