Sample Record for 2024-01-22-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994654 DEA: 07313504 EFIS: 0715000090
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,VEN-1-37.7/62.9,0.0/0.9
Work Description: REMOVE AND CONSTRUCT BRIDGE AND CULVERTS.
Location Description: LOS ANGELES AND VENTURA COUNTIES AT VARIOUS LOCATIONS FROM 0.4 MILE SOUTH OF TEMESCAL CANYON ROAD TO 0.1 MILE NORTH OF TONGA STREET
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: Dan Leon Structure Rep.: Aziz Maghsoudloo
Sample Information
DIME Sample ID: 2024-01-22-2
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: 01/22/2024
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 9 lots, 1283 hoops
A brief description of the sample: (36) #6 Hoops 3'-6" Ø
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RKR Steel Welding
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 304022
Hoop Manufacturer Lot Number(s): 92-100
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #6
Diameter of Hoop: 3'-6"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Cascade Steel
Welding Company: RKR Steel Welding
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
