Sample Record

DIME Sample ID 2023-11-14-3

Project Information

Project IdentifiersProject ID: 994245
DEA: 051H4304
EFIS: 0516000073
DIST-CO-RTE-PM05-SB-101-21.4/21.9
Award Date03/02/2023
Closeout DateNot set
Work DescriptionSan Jose Creek Bridge replacement
Location DescriptionSANTA BARBARA COUNTY IN GOLETA FROM ROUTE 101/217 SEPARATION TO 0.3 MILE NORTH OF SAN JOSE CREEK BRIDGE
QA Service Level1 (Verified on 09/19/2022)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date11/14/2023 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing11/17/2023 Sample typeQuality Control
A brief description of the sample#6 1'-6"dia welded hoops The quantity of what the sample constitutes1130
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) FormL159-267-23
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)013822
Hoop Manufacturer Lot Number(s)106-113 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop1'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade
Welding CompanyRKR Steel Welding Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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