Sample Record for 2020-08-31-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 400 Sunrise Ave, Suite 300, Roseville, CA 95661
Resident Engineer: Garrett Griffith Structure Rep.: Matt Crete
Sample Information
DIME Sample ID: 2020-08-31-1
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: 08/31/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 417
A brief description of the sample: #7 x 4'-2" diameter hoops lots 1, 2 and 3
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): 1202024273
Hoop Manufacturer Lot Number(s): 1, 2 and 3
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #7
Diameter of Hoop: 4'-2"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Nucor Utah
Welding Company: TNT Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
