Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2020-06-24-3

Project Information

Project IdentifiersProject ID: 212245
DEA: 024F8604
EFIS: 0213000043
DIST-CO-RTE-PM02-TRI-36-26.7/27.1
Award Date11/02/2018
Closeout Date05/23/2022
Work DescriptionROADWAY REALIGNMENT AND NEW BRIDGE CONSTRUCTION
Location DescriptionTRINITY COUNTY ABOUT 9 MILES EAST OF FOREST GLEN FROM 0.6 MILE WEST TO 0.1 MILE WEST OF ROUTE 3
QA Service Level1 (Verified on 03/21/2017)

Sample Information

Sample Taken Date06/24/2020 Sample Unique Key3
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 testing06/26/2020
Sample typeQuality Control A brief description of the sample#6 x 5'-2" Dia.
The quantity of what the sample constitutes8 Samples from lot 1-2 From where was the sample collectedFabricator
First name of sampler or witnessed byOsiel Last name of sampler or witnessed byRamirez
Title of samplerCT METS QA INSPECTOR Telephone number of sampler5599740870
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTNT Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL123-074-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)1201021017
Hoop Manufacturer Lot Number(s)1 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop5'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
Welding CompanyTNT Rebar 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