Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2024-06-06-1

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 DateNot set
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)

Sample Information

Sample Taken Date06/06/2024 Sample Unique Key1
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 sampleASTM A706 Grade 60 Welded Hoops
The quantity of what the sample constitutes1252 From where was the sample collectedFabricator
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of samplerAssociate Steel Inspector Telephone number of sampler707-342-8602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC San Bernardino Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL110-079-24 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4138805
Hoop Manufacturer Lot Number(s)Lot no. 11 thru Lot no. 19 Material Standard CodeASTM A706
Material Grade60 Rebar Size#5
Diameter of Hoop2'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel Arizona
Welding CompanyCMC San Bernardino Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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

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Test File Attachments