Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2017-09-15-2

Project Information

Project IdentifiersProject ID: 210794
DEA: 062HT104
EFIS: 0612000287
DIST-CO-RTE-PM06-FRE-99-23.5/26.7
Award Date06/30/2016
Closeout Date09/16/2020
Work Description(Alternative Delivery) Realign Freeway CONTACT SMR PRIOR TO PERFORMING ANY TESTING OR INSPECTION. CMGC PROJECT. Realign Route 99 between Ashlan Avenue and Olive Avenue to accommodate the High Speed Train (HST).
Location DescriptionState Highway 99 in Fresno (Fresno County) from 0.2 miles North of Olive Ave over-crossing to 0.2 miles North of Ashlan Ave over-crossing.
QA Service Level1 (Verified on 10/01/2015)

Sample Information

Sample Taken Date09/15/2017 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 Assurance A brief description of the sampleFlash Welded Rebar Hoops
The quantity of what the sample constitutes3 lots From where was the sample collectedSource
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHarris Salinas Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form 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)unknown
Hoop Manufacturer Lot Number(s)unknown Material Standard CodeASTM A706
Material Grade60 Rebar Size8
Diameter of Hoop3'-0" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor Seattle
Welding CompanyHarris Rebar Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments