Sample Record for 2023-02-08-1
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Project Information
Project ID: 994248 DEA: 051K1204 EFIS: 0518000125
QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR-9-1.0,4.0
Work Description: CONSTRUCT SIDEHILL VIADUCTS.
Location Description: SANTA CRUZ COUNTY AT 0.5 MILE NORTH OF VERNON STREET AND AT 0.8 MILE SOUTH OF GLENGARRY ROAD
Contractor Name: GORDON N BALL INC
Contractor Address: 333 CAMILLE AVENUE, ALAMO, CA 94507
Resident Engineer: Farshad Keshavarzi Structure Rep.: James Wilcenski
Sample Information
DIME Sample ID: 2023-02-08-1
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: 02/08/2023
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1139 Hoops
A brief description of the sample: #6 ASTM A706 Grade 60 Hoops
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC San Bernardino
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 4122996
Hoop Manufacturer Lot Number(s): Lot No 1 thru Lot No 8
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #6
Diameter of Hoop: 2'-6"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Steel AZ
Welding Company: CMC Steel - San Bernardino
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
