Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2018-11-21-2

Project Information

Project IdentifiersProject ID: 212888
DEA: 07202124
EFIS: 0700020870
DIST-CO-RTE-PM07-LA-710-20.9/24.6
Award Date02/16/2018
Closeout DateNot set
Work DescriptionPAVEMENT REHABILITATION AND BRIDGE WIDENING
Location DescriptionLOS ANGELES COUNTY IN AND NEAR BELL, VERNON, AND CITY OF COMMERCE, FROM 0.2 MILE SOUTH OF SLAUSON AVENUE OVERCROSSING TO 0.1 MILE NORTH OF THIRD STREET OVERCROSSING
QA Service Level1 (Verified on 03/29/2018)

Sample Information

Sample Taken Date11/21/2018 Sample Unique Key2
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 testing11/21/2018
Sample typeQuality Control A brief description of the sampleFlash Welded Rebar Hoops
The quantity of what the sample constitutes4 From where was the sample collectedFabricator
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQA Telephone number of sampler702 917-2503
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCMC Rbar Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-117-18 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingAuthorization Testing
Service or UltimateUltimate Rebar Heat Number(s)65032858
Hoop Manufacturer Lot Number(s)1 Material Standard CodeASTM A706
Material Grade60 Rebar Size7
Diameter of Hoop3'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Rebar
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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