Sample Record

Owner Lab

  • CT QASI - Bay Area Field Laboratory

DIME Sample ID 2017-03-17-2

Project Information

Project IdentifiersProject ID: 210808
DEA: 020E0904
EFIS: 0200000016
DIST-CO-RTE-PM02-SHA-5-R29.3/R31.1,R45.0/R45.8
Award Date02/03/2016
Closeout Date10/21/2020
Work DescriptionREPLACE BRIDGE, REALIGN ROADWAY AND SEISMIC RETROFIT
Location DescriptionIN 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 Level1 (Verified on 09/23/2015)

Sample Information

Sample Taken Date03/17/2017 Sample Unique Key2
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 testing03/17/2017
Sample typeQuality Control A brief description of the sample25/8 Rebar hoop
The quantity of what the sample constitutes1 lot From where was the sample collectedFabricator
First name of sampler or witnessed byStacey Last name of sampler or witnessed byDavis
Title of samplerQAI Telephone number of sampler5624806904
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHarris Rebar Nucor Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB362-013-17 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)SE16104901
Hoop Manufacturer Lot Number(s)H32 Material Standard CodeASTM A706
Material Grade60 Rebar Size8
Diameter of Hoop6'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar Manufacturernucor
Welding CompanyHarris Rebar Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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