Sample Record for 2019-10-08-8
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212914 DEA: 031E0604 EFIS: 0312000068
QA Service Level: 1
DIST-CO-RTE-PM: 03-YUB-70-15.5/16.5
Work Description: SIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055.
Location Description: NEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019.
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Manoharan Selvendran Structure Rep.: Travis Christie
Sample Information
DIME Sample ID: 2019-10-08-8
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: 10/08/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/10/2019
The quantity of what the sample constitutes: 20 samples from lot # 6-10
A brief description of the sample: #8X8'-8" Dia Hoops
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar Etiwanda
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Rebar Heat Number(s): 4087669
Hoop Manufacturer Lot Number(s): LOT 6 thru 10
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 8
Diameter of Hoop: 8'-8"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Steel Arizona
Welding Company: CMC Rebar Etiwanda
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
