*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Sample Record for 2020-06-05-1
Project ID: 214176 DEA: 033F0904 EFIS: 0312000056 QA Service Level: 1
Work Description: REPLACE STRUCTURAL CONCRETE BRIDGES, PLACE CIDH & CISS CONCRETE PILES.
Location Description: SACRAMENTO COUNTY AT NORTH SACRAMENTO UNDERCROSSING AND SACRAMENTO RIVER BRIDGE AND IN SAN JOAQUIN COUNTY AT MOKELUMNE RIVER BRIDGE
Contractor Name: Myers & Sons Construction Contractor Address: 4600 Northgate Boulevard, Suite 100
Resident Engineer: Mohssen Ghassemi Structure Rep.: Pazzi, Chuck
DIME Sample ID: 2020-06-05-1
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: 06/05/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 140 ea.
A brief description of the sample: #7 rebar 3' - 5.2"
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 127120
Hoop Manufacturer Lot Number(s): Lot 21
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #7
Diameter of Hoop: 3'-5.2"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Cascade Steel
Welding Company: RKR Steel Welding
Coating Standards: Uncoated
Weld Type: Flash Welded