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Sample Record for 2020-02-19-2


Project Information

Project ID: 213583 DEA: 060H2004 EFIS: 0612000157 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-201,216-12.5,21.2,18.7
Work Description: BRIDGE WIDENING, UPGRADE LANES AND OUTSIDE SHOULDERS.
Location Description: TULARE COUNTY NEAR CUTLER ON ROUTE 201 AT SAND CREEK BRIDGE AND AT FRIANT KERN CANAL BRIDGE AND NEAR WOODLAKE ON ROUTE 216 AT KAWEAH RIVER BRIDGE
Contractor Name: Viking Construction Contractor Address: P.O. Box 1508
Resident Engineer: Donald Hiura Structure Rep.: Moua, Peter

Sample Information

DIME Sample ID: 2020-02-19-2
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: 02/19/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 4 Samples from lot 2A
A brief description of the sample: #6 Rebar 1'-6" dia. hoops
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

Production or Authorization Testing: Retest
Service or Ultimate: Ultimate
Rebar Heat Number(s): 4093479
Hoop Manufacturer Lot Number(s): 82975854
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 6
Diameter of Hoop: 1'-6"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Steel Arizona
Welding Company: CMC Rebar Etiwanda
Coating Standards: Uncoated
Weld Type: Flash Welded