Sample Record

DIME Sample ID 2016-12-21-2

Project Information

Project IdentifiersProject ID: 211864
DEA: 042L8104
EFIS: 0412000177
MINOR: 04A4925
DIST-CO-RTE-PM04-SF-1,280-3.85, 2.58
Award DateNot set
Closeout Date07/05/2023
Work DescriptionCold plane and resurface ramp and install vehicle speed feedback sign.
Location DescriptionON ROUTE 1 BETWEEN JUDAH STREET AND IRVING STREET AND ON ROUTE 280 AT SAN JOSE AVENUE OFF-RAMP
QA Service Level1 (Verified on 11/01/2016)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date12/21/2016 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 Resistance Butt Welded Hoops The quantity of what the sample constitutes24
From where was the sample collectedFabricator First name of sampler or witnessed byJames
Last name of sampler or witnessed byDoe Title of samplerCALTRANS METS QA INSPECTOR
Telephone number of sampler(510) 918-4918 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameMission City Rebar
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB358-130-16
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)PL16101722
Hoop Manufacturer Lot Number(s)1 Material Standard CodeASTM A706
Material Grade60 Rebar Size4
Diameter of Hoop2'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
Welding CompanyMission City Rebar Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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