Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-06-22-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214511 DEA: 010E0004 EFIS: 0113000091 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-84.4/84.8 |
| Award Date | 01/29/2020 |
| Closeout Date | 11/22/2023 |
| Work Description | BRIDGE RAIL REPLACEMENT. |
| Location Description | HUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE |
| QA Service Level | 1 (Verified on 11/13/2019) |
Sample Information
| Sample Taken Date | 06/22/2020 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 06/29/2020 |
| Sample type | Quality Assurance | A brief description of the sample | (4) #6 x2'-4 1/2" Ø |
| The quantity of what the sample constitutes | 900 hoops, #6 | 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 | QA | Telephone number of sampler | 951-500-0685 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | RKR | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L133-108-20 | 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) | 158420 |
| Hoop Manufacturer Lot Number(s) | Lot 1 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #6 |
| Diameter of Hoop | 2'-4.5" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Cascade Steel |
| Welding Company | RKR Steel Welding | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-06-22-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-06-22-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-06-22-1-3 CTM 670-December 2013 (Verified)