Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-04-17-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213958 DEA: 010F9604 EFIS: 0116000109 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-124.5 |
| Award Date | 11/06/2019 |
| Closeout Date | 11/23/2021 |
| Work Description | LITTLE LOST MAN FISH PASSAGE |
| Location Description | HUMBOLDT COUNTY NEAR ORICK 0.2 MILE SOUTH OF LOST MAN CREEK BRIDGE |
| QA Service Level | 1 (Verified on 06/24/2019) |
Sample Information
| Sample Taken Date | 04/17/2020 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 04/21/2020 |
| Sample type | Quality Control | A brief description of the sample | #5x 2'-6" Dia Hoops |
| The quantity of what the sample constitutes | 3 Lots (380 Hoops) | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Dsouza |
| Title of sampler | QA Inspector | Telephone number of sampler | 646-942-3585 |
| Laboratory sample identification | Linked DIME Sample ID | n/a | |
| The fabricator/manufacturer/facility name | RKR Steel Welding | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L132-059-20 | 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) | 1912184 |
| Hoop Manufacturer Lot Number(s) | Lot 1-3 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #5 |
| Diameter of Hoop | 2'-6" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Vinton Steel |
| Welding Company | RKR | 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. | |||