Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2018-01-04-11

Project Information

Project IdentifiersProject ID: 211777
DEA: 04209504
EFIS: 0412000116
DIST-CO-RTE-PM04-MRN,SON-1-50.2/50.5,0.0/0.2
Award Date01/04/2017
Closeout Date10/21/2019
Work DescriptionREPLACE ESTERO BRIDGE AND REALIGN APPROACHING ROADWAY; Bridge No. 27-0121
Location DescriptionMARIN AND SONOMA COUNTIES NEAR VALLEY FORD FROM 0.4 MILE SOUTH OF ESTERO AMERICANO BRIDGE TO 0.2 MILE NORTH OF ESTERO AMERICANO BRIDGE
QA Service Level1 (Verified on 01/17/2017)

Sample Information

Sample Taken Date01/04/2018 Sample Unique Key11
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 sample Flash Welded Hoops
The quantity of what the sample constitutes1 lot From where was the sample collectedFabricator
First name of sampler or witnessed byRussell Last name of sampler or witnessed byLynch
Title of samplerQAI Telephone number of sampler(213) 538-8219
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTNT Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL96-001-18 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)PL17107099
Hoop Manufacturer Lot Number(s)Lot 11 Material Standard CodeASTM A706
Material Grade60 Rebar Size8
Diameter of Hoop3'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
Welding CompanyTNT 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