Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2019-09-04-1

Project Information

Project IdentifiersProject ID: 213856
DEA: 112888U4
EFIS: 1118000199
DIST-CO-RTE-PM11-SD-11,125,905-Various
Award Date05/09/2019
Closeout Date09/14/2023
Work DescriptionCONSTRUCT FREEWAY TO FREEWAY CONNECTORS AND 4-LANE HIGHWAY FACILITY
Location DescriptionSAN DIEGO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 07/19/2019)

Sample Information

Sample Taken Date09/04/2019 Sample Unique Key1
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 testing09/04/2019
Sample typeQuality Control A brief description of the sample#8 x 6'-5" Dia Hoops
The quantity of what the sample constitutes6 lots 0f 150 each From where was the sample collectedFabricator
First name of sampler or witnessed byOsiel Last name of sampler or witnessed byRamirez
Title of samplerQA Inspector Telephone number of sampler5599740870
Laboratory sample identificationSequia Lab Linked DIME Sample ID2019-08-23-4
The fabricator/manufacturer/facility nameRKR Steel Welding Transportation Laboratory (TL) Numberx
Inspector Lot Number from the Transportation Laboratory (TL) FormL123-047-19 Structure unique identifier00-0000
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateService Rebar Heat Number(s)9000824
Hoop Manufacturer Lot Number(s)Lot 9-14 Material Standard CodeASTM A706
Material Grade60 Rebar Size8
Diameter of Hoop6'-5" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel CA
Welding CompanyRKR Steel Welding 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