Sample Record for 2022-06-03-5
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215304 DEA: 010E0814 EFIS: 0118000172
QA Service Level: 1
DIST-CO-RTE-PM: 01-LAK-20,29,175-Var
Work Description: Replace & widen bridges
Location Description: LAKE COUNTY AT VARIOUS LOCATIONS
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 4001 Bradshaw Road, Sacramento, CA 95827
Resident Engineer: Daniel Kraft Structure Rep.: Juan Sanchez Ramos
Sample Information
DIME Sample ID: 2022-06-03-5
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: 06/03/2022
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: (724 EA) #3 1'-6" Ø Lot 1 to Lot 5
A brief description of the sample: (20 EA) #3 1'-6" Ø Lot 1 to 5
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): 3500023381
Hoop Manufacturer Lot Number(s): Lot 1 to 5
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #6
Diameter of Hoop: 1'-6"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Nucor
Welding Company: TNT Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
