Sample Record for 2016-12-21-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 211864 DEA: 042L8104 EFIS: 0412000177 MINOR: 04A4925
QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-1,280-3.85, 2.58
Work Description: Cold plane and resurface ramp and install vehicle speed feedback sign.
Location Description: ON ROUTE 1 BETWEEN JUDAH STREET AND IRVING STREET AND ON ROUTE 280 AT SAN JOSE AVENUE OFF-RAMP
Contractor Name: ALANIZ CONSTRUCTION INC
Contractor Address: 7160 STEVENSON BOULEVARD, FREMONT CA 94538
Resident Engineer: Abdolreza Abdi Structure Rep.: Peter Lam
Sample Information
DIME Sample ID: 2016-12-21-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 12/21/2016
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 24
A brief description of the sample: Resistance Butt Welded Hoops
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mission City Rebar
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): PL16101722
Hoop Manufacturer Lot Number(s): 1
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 4
Diameter of Hoop: 2'-2"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Nucor
Welding Company: Mission City Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
