Sample Record

Owner Lab

  • CT METS QASI - Los Angeles Design Build Field Laboratory

DIME Sample ID 2020-05-08-6

Project Information

Project IdentifiersProject ID: 211848
DEA: 112T2174
EFIS: 1116000131
DIST-CO-RTE-PM11-SD-5-R37.4 - R46.5
Award Date12/22/2016
Closeout DateNot set
Work Description(Alternative Delivery) CMGC, San Elijo Highway Bridge Replacement. Replace the San Elijo lagoon highway bridge, construct HOV lanes, construct bike and pedestrian trails and bridge, build multi-use facility at Manchester Ave.
Location DescriptionIN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS FROM 0.1 MILE NORTH OF LOMAS SANTA FE DRIVE OVERCROSSING TO 0.2 MILE SOUTH OF BIRMINGHAM DRIVE OVERCROSSING
QA Service Level1 (Verified on 01/31/2017)

Sample Information

Sample Taken Date05/08/2020 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 testingNot set
Sample typeQuality Assurance A brief description of the sample#7 welded hoops
The quantity of what the sample constitutes632 welded #7 hoops From where was the sample collectedFabricator
First name of sampler or witnessed bymike Last name of sampler or witnessed byKopenski
Title of samplerqa Telephone number of sampler3107459655
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) FormL149-055-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4094483
Hoop Manufacturer Lot Number(s)28-32 Material Standard CodeASTM A706
Material Grade60 Rebar Size#7
Diameter of Hoop5'-5" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Arizona
Welding CompanyCMC Rebar (Etiwanda) 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