Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2018-06-05-1

Project Information

Project IdentifiersProject ID: 212743
DEA: 030H26U4
EFIS: 0317000247
DIST-CO-RTE-PM03-PLA-65-R5.0/R6.6
Award Date02/14/2018
Closeout Date10/21/2022
Work DescriptionNORTHBOUND WIDENING AND RAMP IMPROVEMENTS.
Location DescriptionPLACER COUNTY IN AND NEAR ROSEVILLE AND ROCKLIN FROM 0.1 MILE SOUTH OF EAST ROSEVILLE VIADUCT TO 0.5 MILE SOUTH OF PLEASANT GROVE BOULEVARD OVERCROSSING
QA Service Level1 (Verified on 12/18/2017)

Sample Information

Sample Taken Date06/05/2018 Sample Unique Key1
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 testing06/06/2018
Sample typeQuality Assurance A brief description of the sample Resistance Butt Welded Hoops
The quantity of what the sample constitutes12 From where was the sample collectedFabricator
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCMC Rebar Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown 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)7
Hoop Manufacturer Lot Number(s)1-8 Material Standard CodeASTM A706
Material Grade60 Rebar Size7
Diameter of Hoop5'-0" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
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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