Sample Record for 2018-01-04-11
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 211777 DEA: 04209504 EFIS: 0412000116
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN,SON-1-50.2/50.5,0.0/0.2
Work Description: REPLACE ESTERO BRIDGE AND REALIGN APPROACHING ROADWAY; Bridge No. 27-0121
Location Description: MARIN AND SONOMA COUNTIES NEAR VALLEY FORD FROM 0.4 MILE SOUTH OF ESTERO AMERICANO BRIDGE TO 0.2 MILE NORTH OF ESTERO AMERICANO BRIDGE
Contractor Name: GHILOTTI CONSTRUCTION COMPANY
Contractor Address: 2301 Kerner Blvd Ste. E, San Rafael, CA 94901
Resident Engineer: Scott Hislop Structure Rep.: Clifford Law
Sample Information
DIME Sample ID: 2018-01-04-11
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 Control
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 01/04/2018
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: Flash Welded Hoops
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TNT Rebar
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): PL17107099
Hoop Manufacturer Lot Number(s): Lot 11
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 8
Diameter of Hoop: 3'-2"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Nucor
Welding Company: TNT Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
