Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2018-04-23-2

Project Information

Project IdentifiersProject ID: 212741
DEA: 020E1804
EFIS: 0200000022
DIST-CO-RTE-PM02-PLU-89-29.8/30.2
Award Date12/13/2017
Closeout Date12/17/2021
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionPLUMAS COUNTY NEAR CANYON DAM FROM 0.2 MILE SOUTH TO 0.3 MILE NORTH OF LAKE ALMANOR SPILLWAY
QA Service Level1 (Verified on 12/06/2017)

Sample Information

Sample Taken Date04/23/2018 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 sample Resistance Butt Welded Hoops
The quantity of what the sample constitutesLot 1 and 2 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerCT METS QA INSPECTOR Telephone number of sampler9512588382
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Etiwanda Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL79-024-18 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)4074397
Hoop Manufacturer Lot Number(s)Lot 1 and 2 Material Standard CodeASTM A706
Material Grade60 Rebar Size6
Diameter of Hoop4'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Arizona
Welding CompanyCMC Rebar (Etiwanda) Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments