Sample Record for 2019-11-13-10
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213764 DEA: 080F0304 EFIS: 0800020358
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-60-R0.7/R3.0
Work Description: REMOVE AND REPLACE THREE OVERCROSSING BRIDGES ON ROUTE 60
Location Description: IN SAN BERNARDINO COUNTY IN AND NEAR CHINO AT VARIOUS LOCATIONS FROM O.1 MILE WEST OF PIPELINE AVENUE OVERCROSSING TO 0.1 MILE EAST OF BENSON AVENUE OVERCROSSING
Contractor Name: SEMA CONSTRUCTION, INC.
Contractor Address: 42690 Rio Nedo, Suite G, Temecula, CA 92590
Resident Engineer: Joseph Lopez Structure Rep.: Rodrigo Santa Cruz
Sample Information
DIME Sample ID: 2019-11-13-10
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: 11/13/2019
Date that the sample was received by the laboratory/organization performing the testing: 11/15/2019
The quantity of what the sample constitutes: 128
A brief description of the sample: #7 x 3'-8" flash welded hoop
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RKR Steel Welding
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 078119
Hoop Manufacturer Lot Number(s): 7
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 7
Diameter of Hoop: 3'-8"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Cascade Steel
Welding Company: RKR Steel Welding
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
