Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2018-10-24-10

Project Information

Project IdentifiersProject ID: 211778
DEA: 04235654
EFIS: 0400000680
DIST-CO-RTE-PM04-SM-101,114-1.3/2.5,5.0/5.3
Award Date02/10/2017
Closeout Date01/08/2020
Work DescriptionRECONSTRUCT INTERCHANGE
Location DescriptionSAN MATEO COUNTY AT VARIOUS LOCATIONS ON ROUTE 101 FROM 0.4 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.6 MILE SOUTH OF HENDERSON UNDERPASS AND ON ROUTE 114 FROM WILLOW ROAD SEPARATION TO NEWBRIDGE STREET
QA Service Level1 (Verified on 10/24/2016)

Sample Information

Sample Taken Date10/24/2018 Sample Unique Key10
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 testing10/24/2018
Sample typeQuality Assurance A brief description of the sampleRebar Hoops
The quantity of what the sample constitutes143 From where was the sample collectedSource
First name of sampler or witnessed byEdward Last name of sampler or witnessed byLeach
Title of samplerQA Telephone number of sampler707-290-3887
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 TestingAuthorization Testing
Service or UltimateService Rebar Heat Number(s)4073439
Hoop Manufacturer Lot Number(s)1 and 2 Material Standard CodeASTM A615
Material Grade60 Rebar Size7
Diameter of Hoop6'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Rebar
Welding CompanyCMC Rebar (Tracy) 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