Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-05-19-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213749 DEA: 120C1104 EFIS: 1200000633 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-20.3/21.6 |
| Award Date | 04/19/2019 |
| Closeout Date | 05/28/2024 |
| Work Description | SR-57 Lambert Interchange Project: WIDEN BRIDGES AND CONSTRUCT RW, SW, HMA, JPCP AND ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY IN BREA FROM 0.6 MILE SOUTH TO 0.7 MILE NORTH OF LAMBERT ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 05/31/2019) |
Sample Information
| Sample Taken Date | 05/19/2020 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 05/27/2020 |
| Sample type | Quality Control | A brief description of the sample | #8 4'-2" Ø Ulitmate Welded Hoops QA Samples Lot 1-3 |
| The quantity of what the sample constitutes | 408 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Rigoberto | Last name of sampler or witnessed by | Marin |
| Title of sampler | QAI | Telephone number of sampler | 951-500-0685 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | TNT | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L133-095-20 | 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) | 4091384 |
| Hoop Manufacturer Lot Number(s) | lot 1 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #8 |
| Diameter of Hoop | 4'-2" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | CMC Steel AZ |
| Welding Company | TNT Rebar | 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. | |||