Sample Record for 2020-07-29-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213811 DEA: 112T2184 EFIS: 1116000174
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R38.4/R47.3
Work Description: (Alternative Delivery) Construct HOV lanes, soundwalls, culvert rehab, ITS, and bike trail on I-5 . NCC I-5 Highway Improvement.
Location Description: IN SAN DIEGO COUNTY IN ENCINITAS AND CARLSBAD FROM SAN ELIJO LAGOON BRIDGE TO 0.3 MILE NORTH OF PALOMAR AIRPORT ROAD OVERCROSSING.
Contractor Name: Flatiron-Skanska-Stacy and Witbeck, a Joint Venture
Contractor Address: 1525 Faraday Ave. #180, Carlsbad, CA 92008
Resident Engineer: Yong Pak Structure Rep.: Cailyn Le
Sample Information
DIME Sample ID: 2020-07-29-1
TL Number from the TL Form:
Sample Submitted By Organization: CT METS QASI - Los Angeles Design Build Field Laboratory
Sample Organization Contact: (619) 204-7248
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 07/29/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/29/2020
The quantity of what the sample constitutes: 780 hoops
A brief description of the sample: #8 4'-6" diameter hoops
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 4098936
Hoop Manufacturer Lot Number(s): Lot 8,9,10,11,12, and 13
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #8
Diameter of Hoop: 4'-6"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Rebar
Welding Company: CMC Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
