Sample Record for 2020-11-03-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214922 DEA: 100X3104 EFIS: 1013000265
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-99-16.8/17.6
Work Description: REPLACE BRIDGE.
Location Description: SAN JOAQUIN COUNTY IN STOCKTON FROM 0.4 MILE SOUTH TO 0.4 MILE NORTH OF FARMINGTON ROAD OVERCROSSING
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 3333 Vaca Valley Parkway, Suite 200, Vacaville, CA 95219
Resident Engineer: David Abledu Structure Rep.: Daniel Laureno
Sample Information
DIME Sample ID: 2020-11-03-1
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: 11/03/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 124
A brief description of the sample: #7 flash welded hoops 3'-8" Dia
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar Etiwanda
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 4100630
Hoop Manufacturer Lot Number(s): 1
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #7
Diameter of Hoop: 3'-8"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Arizona
Welding Company: CMC Rebar Etiwanda
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
