Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2019-03-15-4

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 Date03/15/2019 Sample Unique Key4
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 testing03/15/2019
Sample typeQuality Control A brief description of the sampleUBS Hoops
The quantity of what the sample constitutes1050 hoops From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerQA Telephone number of sampler310-883-8369
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTNT Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL79-123-19 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)4083637
Hoop Manufacturer Lot Number(s)11 Material Standard CodeASTM A706
Material Grade60 Rebar Size5
Diameter of Hoop1'-4" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC
Welding CompanyTNT Rebar Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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