Sample Record for 2017-04-11-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212164 DEA: 051J1304 EFIS: 0517000064
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON,MON-1-45.52, 45.4/45.8
Work Description: Pfeiffer Canyon Emergency Bridge Replacement Project
Location Description: Highway 1 at Pfeiffer State Park
Contractor Name: Golden State Bridge
Contractor Address: 2990 Bay Vista Court, Benicia, CA 94510
Resident Engineer: Tyler Lavering Structure Rep.: David Galarza
Sample Information
DIME Sample ID: 2017-04-11-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 04/11/2017
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 142
A brief description of the sample: Rebar hoop
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Harris Rebar
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): SE17101189
Hoop Manufacturer Lot Number(s): H01
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 8
Diameter of Hoop: 4'-2"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Nucor
Welding Company: Harris Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
