Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2017-07-21-2
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Project Information
| Project Identifiers | Project ID: 7428 DEA: 07215944 EFIS: 0700001834 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-4.0/5.9 |
| Award Date | 08/23/2012 |
| Closeout Date | 07/02/2021 |
| Work Description | RECONSTRUCT AND WIDEN FREEWAY AND UNDERCROSSING STRUCTURES. |
| Location Description | LOS ANGELES COUNTY IN NORWALK FROM 0.4 MILE SOUTH OF SAN ANTONIO DRIVE UNDERCROSSING TO 0.7 MILE NORTH OF PIONEER BOULEVARD UNDERCROSSING |
| QA Service Level | 1 (Verified on 11/07/2012) |
Sample Information
| Sample Taken Date | 07/21/2017 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 07/24/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 4 feet one and a half inch Welded Hoops |
| The quantity of what the sample constitutes | 1 set of 4 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | George | Last name of sampler or witnessed by | Lujan |
| Title of sampler | QAI | Telephone number of sampler | 951 640-5331 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | 2017-06-05-3 |
| The fabricator/manufacturer/facility name | RKR Steel Welding | Transportation Laboratory (TL) Number | QC TL101 C950653 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L36-014-17 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Retest |
|---|---|---|---|
| Service or Ultimate | Ultimate | Rebar Heat Number(s) | 65026858 |
| Hoop Manufacturer Lot Number(s) | 5 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | 8 |
| Diameter of Hoop | 4'-1.5" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Gerdau |
| Welding Company | RKR Steel Welding | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-07-21-2-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2017-07-21-2-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2017-07-21-2-3 CTM 670-December 2013 (Verified)