Sample Record for 2019-02-14-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213470 DEA: 06394604 EFIS: 0600020595
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-269-10.6/12.4
Work Description: REPLACE BRIDGES AND RECONSTRUCT ROADWAY.
Location Description: FRESNO COUNTY NEAR HURON FROM 1.0 MILE NORTH OF PALMER AVENUE TO 0.4 MILE SOUTH OF ROUTE 198
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 5771 S. Toyota Avenue, Fresno, CA 93725
Resident Engineer: Din Dadawalla Structure Rep.: Nathan Quiroz
Sample Information
DIME Sample ID: 2019-02-14-1
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: 02/14/2019
Date that the sample was received by the laboratory/organization performing the testing: 02/14/2019
The quantity of what the sample constitutes: Lot 1-10
A brief description of the sample: UBS 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): 4083637
Hoop Manufacturer Lot Number(s): 1-10
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 5
Diameter of Hoop: 1'-4"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Rebar
Welding Company: TNT Rebar Company
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
