Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-01-15-1
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Project Information
| Project Identifiers | Project ID: 994574 DEA: 050C7334 EFIS: 0518000116 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-1-10.5/13.4 |
| Award Date | 06/29/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs |
| Location Description | SANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/13/2023) |
Sample Information
| Sample Taken Date | 01/15/2025 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 01/21/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 4' - 2" dia. #8 rebar hoops |
| The quantity of what the sample constitutes | 201 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 9152961869 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | TNT Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L134-005-25 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Rebar Heat Number(s) | 1201063511 |
| Hoop Manufacturer Lot Number(s) | 1 & 2 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #8 |
| Diameter of Hoop | 4'-2" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Nucor Utah |
| Welding Company | TNT Rebar | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-01-15-1-1 CTM 670-December 2013 (Verified)