Sample Record

DIME Sample ID 2023-10-23-3

Project Information

Project IdentifiersProject ID: 994751
DEA: 010C5004
EFIS: 0112000292
DIST-CO-RTE-PM01-HUM-36-11.3/34.6
Award Date03/02/2023
Closeout DateNot set
Work DescriptionProject Name: Bridge Rail Replacement - 3 Bridges
Location DescriptionHely Creek, Little Larabee Creek and Butte Creek Bridge.
QA Service Level1 (Verified on 04/27/2023)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/23/2023 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing10/27/2023 Sample typeQuality Control
A brief description of the sample#5 2'-2" welded hoop The quantity of what the sample constitutes692
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 nameTNT Rebar
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL159-258-23
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)245923
Hoop Manufacturer Lot Number(s)1-5 Material Standard CodeASTM A706
Material Grade60 Rebar Size#5
Diameter of Hoop2'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade Steel
Welding CompanyTNT Rebar Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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