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Sample Record for 2021-12-01-3

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

Project Information

Project ID: 993237 DEA: 051K0604 EFIS: 0518000115 QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR-9-10.8
Work Description: EXTEND SIDE HILL VIADUCT.
Location Description: SANTA CRUZ COUNTY NEAR BROOKDALE AT SIDEHILL VIADUCT BRIDGE
Contractor Name: GORDON N BALL INC
Contractor Address: 333 CAMILLE AVENUE, ALAMO CA 94507
Resident Engineer: Gareth Gill Structure Rep.: James Wilcenski

Sample Information

DIME Sample ID: 2021-12-01-3
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: 12/01/2021
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 8 hoops from lot 1 and 2
A brief description of the sample: #6 hoop 2'-0" dia.
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): 091221
Hoop Manufacturer Lot Number(s): Lots 1 and 2
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #6
Diameter of Hoop: 2'-0"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Cascade Steel
Welding Company: RKR Steel Welding
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.