Sample Record for 2020-11-13-5
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214465 DEA: 081E5704 EFIS: 0814000051
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-27.7
Work Description: PLACE CIDH PILING AND ROCK SLOPE PROTECTION
Location Description: RIVERSIDE COUNTY NEAR PALM SPRINGS AT WHITEWATER RIVER BRIDGE
Contractor Name: ROCKFORCE CONSTRUCTION, LLC
Contractor Address: 26771 Vista Terrace, Lake Forest, CA, 92630
Resident Engineer: Peter Koury Structure Rep.: Shukri Abouazra
Sample Information
DIME Sample ID: 2020-11-13-5
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: 11/13/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 150
A brief description of the sample: Welded Hoop #7 2'-6"
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RKR Steel Welding
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 457719
Hoop Manufacturer Lot Number(s): 89, 90, 91
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #7
Diameter of Hoop: 2'-6"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Cascade
Welding Company: RKR Steel Welding
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
