Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2019-03-04-2

Project Information

Project IdentifiersProject ID: 213470
DEA: 06394604
EFIS: 0600020595
DIST-CO-RTE-PM06-FRE-269-10.6/12.4
Award Date11/02/2018
Closeout Date10/15/2020
Work DescriptionREPLACE BRIDGES AND RECONSTRUCT ROADWAY.
Location DescriptionFRESNO COUNTY NEAR HURON FROM 1.0 MILE NORTH OF PALMER AVENUE TO 0.4 MILE SOUTH OF ROUTE 198
QA Service Level1 (Verified on 09/25/2018)

Sample Information

Sample Taken Date03/04/2019 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 testing03/06/2019
Sample typeQuality Control A brief description of the sampleFlash Welded Rebar Hoops
The quantity of what the sample constitutes20 lots of 150 From where was the sample collectedFabricator
First name of sampler or witnessed byOsiel Last name of sampler or witnessed byRamirez Alvarez
Title of samplerCT METS QA INSPECTOR Telephone number of sampler5599740870
Laboratory sample identificationxx Linked DIME Sample ID2019-03-04-1
The fabricator/manufacturer/facility nameTNT Rebar Transportation Laboratory (TL) Numberxx
Inspector Lot Number from the Transportation Laboratory (TL) FormXX Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateService Rebar Heat Number(s)4082019
Hoop Manufacturer Lot Number(s)CMC STEEL Material Standard CodeASTM A706
Material Grade60 Rebar Size5
Diameter of Hoop1'-4" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Arizona
Welding CompanyTNT Rebar Company Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments