Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2019-02-19-4

Project Information

Project IdentifiersProject ID: 213442
DEA: 112E1504
EFIS: 1117000179
DIST-CO-RTE-PM11-SD-5-38.1/39.3
Award Date11/21/2017
Closeout Date09/20/2021
Work Description(ALTERNATIVE DELIVERY) WETLAND CONSTRUCTION
Location DescriptionNEAR STATE HIGHWAY IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 08/28/2018)

Sample Information

Sample Taken Date02/19/2019 Sample Unique Key4
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 testing02/21/2019
Sample typeQuality Assurance A brief description of the sample#5 A706 GR 60 Hoops
The quantity of what the sample constitutes4 From where was the sample collectedFabricator
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of samplerQA Inspector Telephone number of sampler707-342-8602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form 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)4083139
Hoop Manufacturer Lot Number(s)Lot No 2 Material Standard CodeASTM A706
Material Grade60 Rebar Size5
Diameter of Hoop2'-2" 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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