Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2017-09-28-2

Project Information

Project IdentifiersProject ID: 210886
DEA: 050F7004
EFIS: 0500000049
DIST-CO-RTE-PM05-MON-68-R17.4/R18.0
Award Date01/22/2016
Closeout Date12/30/2019
Work DescriptionWIDENING BRIDGE
Location DescriptionIN MONTEREY COUNTY ON ROUTE 68 NEARSALINAS FROM 0.2 MILE EAST OFRESERVATION ROAD UNDERCROSSING TO SPRECKELS BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 02/01/2016)

Sample Information

Sample Taken Date09/28/2017 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 sampleUBS Hoops
The quantity of what the sample constitutes1 production lot From where was the sample collectedManufacturer
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 Evraz Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB362-126-17 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)593421
Hoop Manufacturer Lot Number(s)H132 Material Standard CodeASTM A706
Material Grade60 Rebar Size5
Diameter of Hoop2'-6.5" Epoxy CoatedNo
Epoxy Coating ColorPurple Rebar ManufacturerEvraz
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