Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2019-07-22-3

Project Information

Project IdentifiersProject ID: 212244
DEA: 044G8404
EFIS: 0413000051
DIST-CO-RTE-PM04-NAP-128-20.1/20.4
Award Date02/19/2019
Closeout DateNot set
Work DescriptionREPLACE CAPELL CREEK BRIDGE
Location DescriptionNAPA COUNTY ABOUT 15 MILES EAST OF RUTHERFORD FROM 1.1 MILES EAST OF KNOXVILLE ROAD TO 0.3 MILE WEST OF CAPELL VALLEY CREST
QA Service Level1 (Verified on 05/20/2017)

Sample Information

Sample Taken Date07/22/2019 Sample Unique Key3
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 testing07/02/2019
Sample typeQuality Control A brief description of the sample #4 Flash Welded Hoops
The quantity of what the sample constitutes10 Lots From where was the sample collectedFabricator
First name of sampler or witnessed byHitesh Last name of sampler or witnessed byPatel
Title of samplerQuality Assurance Inspector Telephone number of sampler9168691602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRKR Steel Welding Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL131-158-19 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingAuthorization Testing
Service or UltimateUltimate Rebar Heat Number(s)4082952
Hoop Manufacturer Lot Number(s)Lots 1 - 10 Material Standard CodeASTM A706
Material Grade60 Rebar Size4
Diameter of Hoop2'-0" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Rebar
Welding CompanyRKR Steel Welding Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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