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Sample Record for 2018-03-28-1


Project Information

Project ID: 209695 DEA: 08347704 EFIS: 0800000616 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-SR-58-0/12.9
Work Description: (Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Location Description: SR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Contractor Name: KIEWIT INFRASTRUCTURE WEST CO. Contractor Address: 2215 E 1ST STREET
Resident Engineer: Shaine Shahidi Structure Rep.: Abdalla, Osama

Sample Information

DIME Sample ID: 2018-03-28-1
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Acceptance
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 03/28/2018
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 400
A brief description of the sample: 8 Flash Welded Hoop
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 12345
Hoop Manufacturer Lot Number(s): Lot 3
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 8
Diameter of Hoop: 5'-8"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Gerdau
Welding Company: RKR Steel Welding
Coating Standards: Uncoated
Weld Type: Flash Welded