Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-10-07-1
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Project Information
| Project Identifiers | Project ID: 213520 DEA: 120M9004 EFIS: 1213000017 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-22-R5.6/R10.9 |
| Award Date | 12/13/2018 |
| Closeout Date | 09/08/2022 |
| Work Description | RECHANNELIZE TO ENHANCE TRAFFIC FLOW |
| Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF BROOKHURST STREET UNDERCROSSING IN GARDEN GROVE TO BEDFORD ROAD OVERCROSSING IN ORANGE |
| QA Service Level | 1 (Verified on 09/10/2018) |
Sample Information
| Sample Taken Date | 10/07/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Control | A brief description of the sample | #5 rebar hoop 4'-2" diameter |
| The quantity of what the sample constitutes | 100 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 6466327821 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Martinez steel | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L134-109-19 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Rebar Heat Number(s) | 1201005410 |
| Hoop Manufacturer Lot Number(s) | 1 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | 5 |
| Diameter of Hoop | 4'-2" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Nucor Utah |
| Welding Company | Martinez Steel | 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. | |||