Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2024-07-17-7

Project Information

Project IdentifiersProject ID: 212470
DEA: 044A1304
EFIS: 0400001106
COOP: 042718
DIST-CO-RTE-PM04-SON-101-18.5/18.5
Award Date11/17/2023
Closeout DateNot set
Work DescriptionCONSISTS OF MODIFICATION AND RECONSTRUCTION OF THE EXISTING US 101/HEARN AVENUE INTERCHANGE IN SONOMA COUNTY, INCLUDING REPLACING THE EXISTING TWO-LANE HEARN AVENUE OVERCROSSING WITH A NEW OVERCROSSING, AND MODIFYING THE SOUTHBOUND OFF-RAMP IN CITY
Location DescriptionIN SONOMA COUNTY.
QA Service Level1 (Verified on 09/23/2019)

Sample Information

Sample Taken Date07/17/2024 Sample Unique Key7
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing07/17/2024
Sample typeQuality Control A brief description of the sample4-8" Dia #7 Hoops
The quantity of what the sample constitutes436 From where was the sample collectedFabricator
First name of sampler or witnessed bySubramony Last name of sampler or witnessed byKrishnamoorthy
Title of samplerCT METS QA INSPECTOR Telephone number of sampler19512014921
Laboratory sample identificationConstruction testing services Inc Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartinez steel Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL88-026-2024 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)126824
Hoop Manufacturer Lot Number(s)Lots 1,2 and 3 Material Standard CodeASTM A706
Material Grade60 Rebar Size#7
Diameter of Hoop4'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade
Welding CompanyMartinez Steel Fontana Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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