Sample Record for 2020-03-26-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212324 DEA: 033F5104 EFIS: 0313000020
QA Service Level: 1
DIST-CO-RTE-PM: 03-YUB-20-R18.1/R20.1
Work Description: Construct bridge, realign curve & widen shoulders.
Location Description: Construction on state highway in Yuba County near Smartsville from the Yuba River Bridge to 0.3 mile east of Smartsville Road.
Contractor Name: Flatiron West, Inc.
Contractor Address: 2100 Goodyear Road, Benicia, CA 94510
Resident Engineer: Aaron Chamberlin Structure Rep.: Brent Bullard
Sample Information
DIME Sample ID: 2020-03-26-1
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: 03/26/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/02/2020
The quantity of what the sample constitutes: (4)
A brief description of the sample: #8 6'-8"Ø Welded Hoops
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TNT Rebar
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 464619
Hoop Manufacturer Lot Number(s): Lot 15
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 8
Diameter of Hoop: 8'-6"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Cascade Steel
Welding Company: TNT Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
