Sample Record for 2020-02-24-18
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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 COMPANY, INC.
Contractor Address: P.O. Box 1508, Rancho Cordova, CA 95741
Resident Engineer: Donald Hiura Structure Rep.: Peter Moua
Sample Information
DIME Sample ID: 2020-02-24-18
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: 02/24/2020
Date that the sample was received by the laboratory/organization performing the testing: 02/24/2020
The quantity of what the sample constitutes: 4 samples from lot 2A
A brief description of the sample: #6 rebar 1'-6" dia welded hoops
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Etiwanda
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 4094135
Hoop Manufacturer Lot Number(s): Lot 2A
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 Steel Etiwanda
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
