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Sample Record for 2019-09-12-2


Project Information

Project ID: 213750 DEA: 120K0224 EFIS: 1214000097 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-14.5/17.1
Work Description: South County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS.
Location Description: ORANGE COUNTY IN MISSION VIEJO AND LAGUNA HILLS FROM 0.7 MILE SOUTH OF OSO PARKWAY OVERCROSSING TO 0.3 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING
Contractor Name: FLATIRON WEST, INC Contractor Address: 1770 La Costa Meadows Drive
Resident Engineer: John Hong Structure Rep.: Kim, Young

Sample Information

DIME Sample ID: 2019-09-12-2
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: Quality Control
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 09/12/2019
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 4 lots (600 total)
A brief description of the sample: Resistance welded hoops
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): 9000985
Hoop Manufacturer Lot Number(s): Lot 5 6 7 8
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 7
Diameter of Hoop: 5'-0"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Rebar
Welding Company: TNT
Coating Standards: Uncoated
Weld Type: Flash Welded