Sample Record for 2022-05-17-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214988 DEA: 050L7214 EFIS: 0515000097
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-1-32.6
Work Description: REMOVE & CONSTRUCT CONCRETE BRIDGE, CONCRETE SLAB, BRIDGE RAIL & HMA.
Location Description: SAN LUIS OBISPO COUNTY IN MORRO BAY AT TORO CREEK BRIDGE
Contractor Name: Souza Engineering Contracting, Inc
Contractor Address: 4027 SANTA FE ROAD, SAN LUIS OBISPO CA 93401
Resident Engineer: Rick Silva Structure Rep.: Salvador Heredia
Sample Information
DIME Sample ID: 2022-05-17-2
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: 05/17/2022
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 150 hoops
A brief description of the sample: # 6 x 3'-4" Dia.
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TNT Rebar Company
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 4116767
Hoop Manufacturer Lot Number(s): Lot 7
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #6
Diameter of Hoop: 3'-4"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Steel AZ
Welding Company: TNT Rebar Company
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
