Sample Record

DIME Sample ID 2023-12-04-2

Project Information

Project IdentifiersProject ID: 994443
DEA: 053307C4
EFIS: 0514000028
DIST-CO-RTE-PM05-SLO-41,46-44.5/45.3,54.0/57.8
Award Date02/27/2023
Closeout DateNot set
Work DescriptionWye Segment - Route 41/46 Separation
Location DescriptionNot set
QA Service Level1 (Verified on 12/16/2022)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date12/04/2023 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing12/08/2023 Sample typeQuality Control
A brief description of the sample#8 4'-8" Dia. Welded Hoops The quantity of what the sample constitutes294
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 nameCMC Rebar
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL159-271-23
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)4133021
Hoop Manufacturer Lot Number(s)1,2 Material Standard CodeASTM A706
Material Grade60 Rebar Size#8
Diameter of Hoop4'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Rebar
Welding CompanyCMC Rebar San Bernardino Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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