Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2019-11-14-6

Project Information

Project IdentifiersProject ID: 213764
DEA: 080F0304
EFIS: 0800020358
DIST-CO-RTE-PM08-SBD-60-R0.7/R3.0
Award Date03/07/2019
Closeout Date07/27/2023
Work DescriptionREMOVE AND REPLACE THREE OVERCROSSING BRIDGES ON ROUTE 60
Location DescriptionIN SAN BERNARDINO COUNTY IN AND NEAR CHINO AT VARIOUS LOCATIONS FROM O.1 MILE WEST OF PIPELINE AVENUE OVERCROSSING TO 0.1 MILE EAST OF BENSON AVENUE OVERCROSSING
QA Service Level1 (Verified on 05/01/2019)

Sample Information

Sample Taken Date11/14/2019 Sample Unique Key6
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 testing11/15/2019
Sample typeQuality Control A brief description of the sample#8 X 5'-2' Dia Hoops
The quantity of what the sample constitutes40 samples from lot #1-10 From where was the sample collectedFabricator
First name of sampler or witnessed byOsiel Last name of sampler or witnessed byRamirez
Title of samplerCALTRANS METS QA INSPECTOR Telephone number of sampler(559) 974-0870
Laboratory sample identification Linked DIME Sample IDN/A
The fabricator/manufacturer/facility nameRKR Steel Welding Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingAuthorization Testing
Service or UltimateUltimate Rebar Heat Number(s)1201015908
Hoop Manufacturer Lot Number(s)Lot 1- 10 Material Standard CodeASTM A706
Material Grade60 Rebar Size8
Diameter of Hoop5'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucon
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