Sample Record for 2022-03-02-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993184 DEA: 040A7724 EFIS: 0420000288 COOP: 042763
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-80-6.4/6.8
Work Description: Excavation, HMA, structural concrete, minor concrete and drainage.
Location Description: IN BERKELEY AND ALBANY FROM 0.6 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.3 MILE SOUTH OF EL CERRITO SEPARATION AND OVERHEAD
Contractor Name: OC Jones (Will Dieterich)
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Maxime Dabilly Structure Rep.: Eric Urementa
Sample Information
DIME Sample ID: 2022-03-02-2
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: 03/02/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/02/2022
The quantity of what the sample constitutes: 4 hoops from lot 1
A brief description of the sample: #6's 3'-3" Ultimate welded hoops
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TNT Rebar
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 3500022833
Hoop Manufacturer Lot Number(s): Lot 1
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #6
Diameter of Hoop: 3'-3"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Nucor
Welding Company: California Department of Transportation
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
