Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2024-04-29-4

Project Information

Project IdentifiersProject ID: 1000274
DEA: 041X2804
EFIS: 0424000295
DIST-CO-RTE-PM04-ALA-84-11.2 or 15.5
Award DateNot set
Closeout DateNot set
Work DescriptionRepair Slip Out
Location DescriptionNiles Canyon
QA Service Level1 (Verified on 05/10/2024)

Sample Information

Sample Taken Date04/29/2024 Sample Unique Key4
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 testingNot set
Sample typeQuality Control A brief description of the sample#6 X 2'-0" Ultimate Welded Hoops Lot 1 thru 8
The quantity of what the sample constitutes8 lots (1200 hoops) 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 sampler7029172503
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameT.N.T Rebar Corp. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-056-24 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)3500034162
Hoop Manufacturer Lot Number(s)Lot 1 thru 8 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop2'-0" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
Welding CompanyTNT Rebar Corp Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments