Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-04-24-3
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 | 04/24/2019 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 testing | 04/29/2019 |
| Sample type | Quality Assurance | A brief description of the sample | #6 ASTM A706 Grade 60 Hoops |
| The quantity of what the sample constitutes | 20 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
| Title of sampler | QA Inspector | Telephone number of sampler | 707-342-8602 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Etiwanda | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L110-054-19 | 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 | Ultimate | Rebar Heat Number(s) | 4083273 |
| Hoop Manufacturer Lot Number(s) | Lot 1, 5, 10, 15, 20 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | 6 |
| Diameter of Hoop | 1'-6" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | CMC Arizona |
| Welding Company | CMC Etiwanda | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
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Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-04-24-3-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-4 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-5 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-6 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-7 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-8 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-9 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-10 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-11 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-12 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-13 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-14 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-04-24-3-15 CTM 670-December 2013 (Verified)