Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-01-23-2

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date01/23/2023 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 sample#8 x 3'-8" hoops The quantity of what the sample constitutes428
From where was the sample collectedFabricator First name of sampler or witnessed bySteve
Last name of sampler or witnessed byHall Title of samplerCT METS QA INSPECTOR
Telephone number of sampler949 350 3970 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC San Bernardino
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL134-015-23
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)4125539
Hoop Manufacturer Lot Number(s)4, 5, 6 Material Standard CodeASTM A706
Material Grade60 Rebar Size#8
Diameter of Hoop3'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Arizona
Welding CompanyCMC San Bernardino Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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