Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-12-12-6

Project Information

Project IdentifiersProject ID: 993446
DEA: 120J34U4
EFIS: 1218000034
DIST-CO-RTE-PM12-ORA-55,55-29.6,R6.4/10.3
Award Date05/27/2022
Closeout DateNot set
Work DescriptionCONSTR BRIDGES, RW, SW, JPCP, HMA PVMT, DRAINAGE AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN IRVINE, SANTA ANA, AND TUSTIN ON ROUTE 5 AT NEWPORT AVENUE UNDERCROSSING AND ON ROUTE 55 FROM 0.4 MILE NORTH OF ROUTE 55/405 SEPARATION TO 0.1 MILE SOUTH OF ROUTE 5/55 SEPARATION
QA Service Level1 (Verified on 06/24/2022)

Sample Information

Sample Taken Date12/12/2023 Sample Unique Key6
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing12/15/2023
Sample typeQuality Control A brief description of the sample#6 1"-6" dia. Welded Hoops
The quantity of what the sample constitutes1650 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) FormL159-279-23 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)273422
Hoop Manufacturer Lot Number(s)1-11 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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