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Sample Record for 2020-06-17-1


Project Information

Project ID: 214426 DEA: 030A5704 EFIS: 0300020593 QA Service Level: 1
DIST-CO-RTE-PM: 03-YUB-20-13.3/R18.2
Work Description: Browns Valley Rehab: CONSTRUCT BRIDGE, REALIGN CURVE, WIDEN SHOULDERS AND CULVERT WORK.
Location Description: YUBA COUNTY FROM MARYSVILLE ROAD TO THE YUBA RIVER BRIDGE
Contractor Name: A. TEICHERT & SON CONSTRUCTION Contractor Address: 400 Sunrise Ave, Suite 300
Resident Engineer: Garrett Griffith Structure Rep.: Crete, Matt

Sample Information

DIME Sample ID: 2020-06-17-1
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: 06/17/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 3 lots of 150 plus 1 lot of 78
A brief description of the sample: #8 rebar hoops 5'-2" dia
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 119520
Hoop Manufacturer Lot Number(s): 1, 2, 3 and 4
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #8
Diameter of Hoop: 5'-2"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Cascade Steel
Welding Company: TNT Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded