Sample Record

DIME Sample ID 2024-05-23-2

Project Information

Project IdentifiersProject ID: 995524
DEA: 021H3604
EFIS: 0216000040
DIST-CO-RTE-PM02-SIS-96-76.8/78.0
Award Date03/22/2024
Closeout Date12/29/2025
Work DescriptionREPLACE BRIDGE.
Location DescriptionSISKIYOU COUNTY NEAR HORSE CREEK FROM 0.4 MILE WEST OF KLAMATH RIVER BRIDGE TO 2.0 MILES WEST OF KOHL CREEK
QA Service Level1 (Verified on 12/27/2023)

Owner Labs

  • Sequoia Consultants
  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date05/23/2024 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing05/24/2024 Sample typeQuality Control
A brief description of the sample#5 x2'-6" dia The quantity of what the sample constitutes40 Hoops from 10 lots 1500 total
From where was the sample collectedFabricator First name of sampler or witnessed byOsiel
Last name of sampler or witnessed byRamirez Title of samplerQuality Assurance Inspector
Telephone number of sampler916 767-3535 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC Rebar San Bernardino
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL123-054-24
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)4138813
Hoop Manufacturer Lot Number(s)Lots 1-10 Material Standard CodeASTM A706
Material Grade60 Rebar Size#5
Diameter of Hoop2'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel Arizona
Welding CompanyCMC Rebar San Bernardino Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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