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Sample Record for 2017-09-15-2

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

Project Information

Project ID: 210794 DEA: 062HT104 EFIS: 0612000287 QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-99-23.5/26.7
Work Description: (Alternative Delivery) Realign Freeway CONTACT SMR PRIOR TO PERFORMING ANY TESTING OR INSPECTION. CMGC PROJECT. Realign Route 99 between Ashlan Avenue and Olive Avenue to accommodate the High Speed Train (HST).
Location Description: State Highway 99 in Fresno (Fresno County) from 0.2 miles North of Olive Ave over-crossing to 0.2 miles North of Ashlan Ave over-crossing.
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 2718 Granite Ct , Fresno, CA 93706
Resident Engineer: Justin Kimura Structure Rep.: Daniel Chapa

Sample Information

DIME Sample ID: 2017-09-15-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 09/15/2017
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 3 lots
A brief description of the sample: Flash Welded Rebar Hoops
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Harris Salinas

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): unknown
Hoop Manufacturer Lot Number(s): unknown
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 8
Diameter of Hoop: 3'-0"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Nucor Seattle
Welding Company: Harris Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded

Test Results