Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-06-23-4

Project Information

Project IdentifiersProject ID: 214511
DEA: 010E0004
EFIS: 0113000091
DIST-CO-RTE-PM01-HUM-101-84.4/84.8
Award Date01/29/2020
Closeout DateNot set
Work DescriptionBRIDGE RAIL REPLACEMENT.
Location DescriptionHUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE
QA Service Level1 (Verified on 11/13/2019)

Sample Information

Sample Taken Date06/23/2020 Sample Unique Key4
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 testing06/29/2020
Sample typeQuality Control A brief description of the sample28 Welded Hoops
The quantity of what the sample constitutes(996) #6 2'-4 1/2" Ø From where was the sample collectedFabricator
First name of sampler or witnessed byRigoberto Last name of sampler or witnessed byMarin
Title of samplerQA Telephone number of sampler951-500-0685
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRKR Steel Welding Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL133-111-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)158420
Hoop Manufacturer Lot Number(s)Lot 7 to 13 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop2'-4.5" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade Steel
Welding CompanyRKR Steel Welding Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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