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

Sample Record for 2017-09-01-5


Project Information

Project ID: 210886 DEA: 050F7004 EFIS: 0500000049 QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-68-R17.4/R18.0
Work Description: WIDENING BRIDGE
Location Description: IN MONTEREY COUNTY ON ROUTE 68 NEARSALINAS FROM 0.2 MILE EAST OFRESERVATION ROAD UNDERCROSSING TO SPRECKELS BOULEVARD UNDERCROSSING
Contractor Name: VIKING CONSTRUCTION COMPANY Contractor Address: 11315 Sunrise Gold Circle, Suite A
Resident Engineer: Tyler Lavering Structure Rep.: Moreno, Juan

Sample Information

DIME Sample ID: 2017-09-01-5
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 09/01/2017
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1 lot
A brief description of the sample: UBS Hoops
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 593421
Hoop Manufacturer Lot Number(s): H132
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 5
Diameter of Hoop: 2'-6.5"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Evraz
Welding Company: Harris Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded