Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-06-26-4

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 Date06/26/2023 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testing06/26/2023 Sample typeQuality Control
A brief description of the sampleASTM A706 gr 60 #4 Rebar 1'-6" diam. welded hoop The quantity of what the sample constitutes1218 welded hoops
From where was the sample collectedFabricator First name of sampler or witnessed byHenry
Last name of sampler or witnessed byArredondo Title of samplerCALTRANS METS QA INSPECTOR
Telephone number of sampler5623329603 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) FormL166-059-23
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)4129294
Hoop Manufacturer Lot Number(s)21 22 23 24 25 26 27 28 29 Material Standard CodeASTM A706
Material Grade60 Rebar Size#4
Diameter of Hoop1'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Arizona
Welding CompanyNA Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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