Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2020-01-10-7

Project Information

Project IdentifiersProject ID: 210837
DEA: 080J0804
EFIS: 0800000283
COOP: 081625
DIST-CO-RTE-PM08-RIV-15-34.7/51.6
Award Date04/17/2017
Closeout DateNot set
Work Description(Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT
Location DescriptionRiverside County and SBD-15-0.0/1.3
QA Service Level1 (Verified on 05/08/2017)

Sample Information

Sample Taken Date01/10/2020 Sample Unique Key7
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 testing01/13/2020
Sample typeQuality Control A brief description of the sample#6 Welded Hoops
The quantity of what the sample constitutes144 From where was the sample collectedManufacturer
First name of sampler or witnessed byFrederic Last name of sampler or witnessed byAboujaoude
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Etiwanda 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)4092766
Hoop Manufacturer Lot Number(s)1 Material Standard CodeASTM A706
Material Grade60 Rebar Size6
Diameter of Hoop4'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Etiwanda
Welding CompanyCMC 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