Sample Record for 2024-04-15-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994346 DEA: 033F23U4 EFIS: 0322000243
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-0.1/2.2,4.9/6.0
Work Description: ROADWAY EXCAVATION, PLACE CL2-AB, HMA, STRUCTURAL CONCRETE & RCP.
Location Description: PLACER COUNTY IN ROSEVILLE FROM 0.1 MILE WEST OF RIVERSIDE AVENUE OVERCROSSING TO 0.3 MILE EAST OF DOUGLAS BOULEVARD OVERCROSSING AND IN ROCKLIN FROM 1.1 MILE WEST OF ROCKLIN ROAD UNDERCROSSING TO ROCKLIN ROAD UNDERCROSSING
Contractor Name: GHILOTTI CONSTRUCTION COMPANY, INC.
Contractor Address: 246 GHILOTTI AVE., SANTA ROSA, CA 95407
Resident Engineer: Tad Sampson Structure Rep.: Carl Anderson
Sample Information
DIME Sample ID: 2024-04-15-2
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: 04/15/2024
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 12 of 408
A brief description of the sample: #6 X 2'-8" Ultimate Welded Hoops Lot 1
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 4138071
Hoop Manufacturer Lot Number(s): Lot 1
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #6
Diameter of Hoop: 2'-8"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Steel Mesa AZ
Welding Company: CMC Rebar San Bernardino
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
