Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2017-02-16-3
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Project Information
| Project Identifiers | Project ID: 210808 DEA: 020E0904 EFIS: 0200000016 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-5-R29.3/R31.1,R45.0/R45.8 |
| Award Date | 02/03/2016 |
| Closeout Date | 10/21/2020 |
| Work Description | REPLACE BRIDGE, REALIGN ROADWAY AND SEISMIC RETROFIT |
| Location Description | IN SHASTA COUNTY ABT 8 MI N OF SHASTA LAKE CTY AND NEAR LAKEHEAD FRM TURNTABLE BAY O/C TO 0.1 MI N OF O'BRIEN SRRA & FRM 0.4 MI S TO 0.3 MI N OF DOG CREEK BRIDGE. |
| QA Service Level | 1 (Verified on 09/23/2015) |
Sample Information
| Sample Taken Date | 02/16/2017 | Sample Unique Key | 3 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 02/16/2017 |
| Sample type | Quality Control | A brief description of the sample | Ultimate Butt Splice |
| The quantity of what the sample constitutes | 99 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | James | Last name of sampler or witnessed by | Doe |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | (510) 918-4918 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Harris Rebar | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B358-007-17 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Rebar Heat Number(s) | SE16104897 |
| Hoop Manufacturer Lot Number(s) | H26 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | 8 |
| Diameter of Hoop | 6'-8" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Nucor |
| Welding Company | Harris Rebar | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||