Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-12-04-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 994443 DEA: 053307C4 EFIS: 0514000028 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-41,46-44.5/45.3,54.0/57.8 |
| Award Date | 02/27/2023 |
| Closeout Date | Not set |
| Work Description | Wye Segment - Route 41/46 Separation |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 12/16/2022) |
Sample Information
| Sample Taken Date | 12/04/2023 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 12/07/2023 |
| Sample type | Quality Assurance | A brief description of the sample | #8 4'-8" Dia. Welded Hoops |
| The quantity of what the sample constitutes | 294 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Adrian | Last name of sampler or witnessed by | Sanchez |
| Title of sampler | Telephone number of sampler | 2137133499 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L159-271-23 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Rebar Heat Number(s) | 4133021 |
| Hoop Manufacturer Lot Number(s) | 1,2 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #8 |
| Diameter of Hoop | 4'-8" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | CMC Rebar |
| Welding Company | CMC Rebar San Bernardino | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-12-04-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-12-04-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-12-04-1-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-12-04-1-4 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-12-04-1-5 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-12-04-1-6 CTM 670-December 2013 (Verified)
