Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-06-14-5

Project Information

Project IdentifiersProject ID: 993825
DEA: 040Q30U4
EFIS: 0420000235
COOP: 042830A3,042830A4
DIST-CO-RTE-PM04-ALA,CC-680-R11.0/R21.9,R0.0/R0.9
Award Date11/23/2022
Closeout DateNot set
Work DescriptionPRECAST CONC PVMT, ELECTRONIC TOLL SYSTEM, JPCP, CB & STRUCTURAL CONC
Location DescriptionALAMEDA AND CONTRA COSTA COUNTIES AT SUNOL AND IN SAN RAMON BETWEEN 0.4 MILE SOUTH OF CALAVERAS ROAD UNDERCROSSING TO 0.9 MILE NORTH OF ALCOSTA BOULEVARD OVERCROSSING
QA Service Level1 (Verified on 05/11/2022)

Sample Information

Sample Taken Date06/14/2023 Sample Unique Key5
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 testing06/14/2023
Sample typeQuality Control A brief description of the sample#4 1'-8" welded hoop
The quantity of what the sample constitutes1285 From where was the sample collectedFabricator
First name of sampler or witnessed byadrian Last name of sampler or witnessed bysanchez
Title of sampler Telephone number of sampler2137133499
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRKR Steel Welding Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL159-169-23 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)451322
Hoop Manufacturer Lot Number(s)1-9 Material Standard CodeASTM A706
Material Grade60 Rebar Size#4
Diameter of Hoop1'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade
Welding CompanyRKR Steel Welding Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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