Sample Record

Owner Lab

  • CT QASI - Bay Area Field Laboratory

DIME Sample ID 2017-04-11-2

Project Information

Project IdentifiersProject ID: 212164
DEA: 051J1304
EFIS: 0517000064
DIST-CO-RTE-PM05-MON,MON-1-45.52, 45.4/45.8
Award Date02/16/2017
Closeout Date10/25/2019
Work DescriptionPfeiffer Canyon Emergency Bridge Replacement Project
Location DescriptionHighway 1 at Pfeiffer State Park
QA Service Level1 (Verified on 02/27/2017)

Sample Information

Sample Taken Date04/11/2017 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 testingNot set
Sample typeQuality Control A brief description of the sampleRebar hoop
The quantity of what the sample constitutes142 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 sampler5624806984
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHarris Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB362-028-17 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)SE17101189
Hoop Manufacturer Lot Number(s)H01 Material Standard CodeASTM A706
Material Grade60 Rebar Size8
Diameter of Hoop4'-2" 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
No results found.