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Sample Record for 2020-12-10-9

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214937 DEA: 11288834 EFIS: 1117000088 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-11,125,905-various
Work Description: CONSTRUCT CONCRETE BRIDGE, PAVEMENT, BARRIER, AND INSTALL LIGHTING. HPLUL-6211(133) SR-125 SB to WB SR-905
Location Description: SAN DIEGO COUNTY IN AND NEAR SAN DIEGO AT ROUTE 11/125/905 SEPARATION
Contractor Name: FLATIRON WEST INC
Contractor Address: 16470 W. Bernardo Drive, Suite 120, San Diego CA 92127
Resident Engineer: Carlos Covarrubias Structure Rep.: Michael Charak

Sample Information

DIME Sample ID: 2020-12-10-9
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: 12/10/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 244
A brief description of the sample: #9 (6'-5")
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Etiwanda

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 4100020
Hoop Manufacturer Lot Number(s): 1 and 2
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #9
Diameter of Hoop: 6'-5"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Steel AZ
Welding Company: CMC Etiwanda
Coating Standards: Uncoated
Weld Type: Flash Welded

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.