Sample Record

DIME Sample ID 2024-04-15-2

Project Information

Project IdentifiersProject ID: 994346
DEA: 033F23U4
EFIS: 0322000243
DIST-CO-RTE-PM03-PLA-80-0.1/2.2,4.9/6.0
Award Date05/25/2023
Closeout DateNot set
Work DescriptionROADWAY EXCAVATION, PLACE CL2-AB, HMA, STRUCTURAL CONCRETE & RCP.
Location DescriptionPLACER COUNTY IN ROSEVILLE FROM 0.1 MILE WEST OF RIVERSIDE AVENUE OVERCROSSING TO 0.3 MILE EAST OF DOUGLAS BOULEVARD OVERCROSSING AND IN ROCKLIN FROM 1.1 MILE WEST OF ROCKLIN ROAD UNDERCROSSING TO ROCKLIN ROAD UNDERCROSSING
QA Service Level1 (Verified on 11/09/2022)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date04/15/2024 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sample#6 X 2'-8" Ultimate Welded Hoops Lot 1 The quantity of what the sample constitutes12 of 408
From where was the sample collectedFabricator First name of sampler or witnessed byLorenzo
Last name of sampler or witnessed byGarcia Title of samplerQuality Assurance Inspector
Telephone number of sampler17029172503 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) FormL115-041-24
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)4138071
Hoop Manufacturer Lot Number(s)Lot 1 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop2'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel Mesa AZ
Welding CompanyCMC Rebar San Bernardino Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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