*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Sample Record for 2017-06-13-3


Project Information

Project ID: 210735 DEA: 071193U4 EFIS: 0713000007 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-37.2/42.4
Work Description: CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location Description: IN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA
Contractor Name: Guy F. Atkinson Contractor Address: 18201 Von Karman Ave, Suite #800
Resident Engineer: Rodolfo Cao Structure Rep.: Win, David

Sample Information

DIME Sample ID: 2017-06-13-3
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: (510) 385-8178
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 06/13/2017
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 150
A brief description of the sample: Resistance Butt Welded Hoops
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 1234
Hoop Manufacturer Lot Number(s): Unknown
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 6
Diameter of Hoop: 3'-0"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Gerdau
Welding Company: TNT Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded