Sample Record for 2022-02-23-3
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215784 DEA: 051G2604 EFIS: 0514000131
QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR-17-9.1/9.9
Work Description: CONSTRUCT STRUCTURAL CONCRETE BRIDGE AND ELECTRIFIED BARRIER SYSTEMS.
Location Description: SANTA CRUZ COUNTY NEAR SCOTTS VALLEY FROM 0.6 MILE SOUTH OF LAUREL ROAD TO 0.2 MILE NORTH OF LAUREL ROAD
Contractor Name: GRANITE ROCK COMPANY
Contractor Address: 5225 Hellyer Ave, Suite 220, San Jose, CA 95138
Resident Engineer: Farshad Keshavarzi Structure Rep.: Juan Moreno
Sample Information
DIME Sample ID: 2022-02-23-3
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: 02/23/2022
Date that the sample was received by the laboratory/organization performing the testing: 02/23/2022
The quantity of what the sample constitutes: 92 total
A brief description of the sample: #5 X 1'-6" Ultimate Welded Hoops
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: T.N.T Rebar Company
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 3500022537
Hoop Manufacturer Lot Number(s): Lots - 1 thru 23
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #5
Diameter of Hoop: 1'-6"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Nucor Seattle
Welding Company: TNT Rebar Company
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
