Sample Record for 2022-08-08-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214989 DEA: 050L7224 EFIS: 0515000098
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-1-34.5
Work Description: REPLACE BRIDGE.
Location Description: SAN LUIS OBISPO COUNTY NEAR MORRO BAY AT OLD CREEK BRIDGE
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: 1686 Ramona Avenue, Suite D, Grover Beach, CA 93433
Resident Engineer: Rick Silva Structure Rep.: Sal Heredia
Sample Information
DIME Sample ID: 2022-08-08-2
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: 08/08/2022
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 394
A brief description of the sample: #7 X 2'-6" Ultimate Welded Hoops Lot 7 thru Lot 10
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martinez steel
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 183522
Hoop Manufacturer Lot Number(s): Lot 6, 7, 8
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #7
Diameter of Hoop: 2'-6"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Cascade Steel
Welding Company: Martinez Steel
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
