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Sample Record for 2016-12-29-1


Project Information

Project ID: 211235 DEA: 054482U4 EFIS: 0500000543 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-2.2/3.3
Work Description: BUILD AND RECONSTRUCT BRIDGES, CONSTRUCT RAMPS AND FRONTAGE ROAD.
Location Description: SANTA BARBARA COUNTY IN CARPINTERIA FROM 0.2 MILE SOUTH OF CARPINTERIA CREEK BRIDGE TO FRANKLIN CREEK BRIDGE
Contractor Name: SECURITY PAVING COMPANY, INC. Contractor Address: 9050 NORRIS AVENUE
Resident Engineer: Tristan Gebhart Structure Rep.: Barajas, Raymond

Sample Information

DIME Sample ID: 2016-12-29-1
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 12/29/2016
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 150
A brief description of the sample: Ultimate Butt Splice
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): SE15101993
Hoop Manufacturer Lot Number(s): H02
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 8
Diameter of Hoop: 5'-10"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Nucor
Welding Company: Harris Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded