Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-04-03-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-5-R3.8/R11.7 |
| Award Date | 11/06/2018 |
| Closeout Date | 08/16/2023 |
| Work Description | WIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB |
| Location Description | SHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
| Sample Taken Date | 04/03/2019 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 testing | 04/05/2019 |
| Sample type | Quality Control | A brief description of the sample | #8 7'-0" Diameter hoops |
| The quantity of what the sample constitutes | 820 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez Alvarez |
| Title of sampler | QAI | Telephone number of sampler | 5599740870 |
| Laboratory sample identification | 5843 | Linked DIME Sample ID | N/A |
| The fabricator/manufacturer/facility name | CMC Rebar | Transportation Laboratory (TL) Number | 946982 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-015-19 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Service | Rebar Heat Number(s) | 9000204 |
| Hoop Manufacturer Lot Number(s) | 17-21 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | 8 |
| Diameter of Hoop | 7'-0" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | CMC Steel AZ |
| Welding Company | CMC Rebar (Etiwanda) | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||