Sample Record

Owner Lab

  • CT METS QASI - Los Angeles Design Build Field Laboratory

DIME Sample ID 2020-07-06-2

Project Information

Project IdentifiersProject ID: 214702
DEA: 030F2864
EFIS: 0320000123
DIST-CO-RTE-PM03-SAC-99-7.92 / 8.4
Award Date06/24/2020
Closeout Date11/28/2023
Work DescriptionRemove and replace Consumnes River and Consumnes River Overflow bridge
Location DescriptionSacramento County
QA Service Level1 (Verified on 04/20/2020)

Sample Information

Sample Taken Date07/06/2020 Sample Unique Key2
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing07/01/2020
Sample typeQuality Control A brief description of the sample#8 6'-2" Hoops
The quantity of what the sample constitutes24 hoops 832 From where was the sample collectedFabricator
First name of sampler or witnessed byMichael Last name of sampler or witnessed byKopenski
Title of samplerQA Telephone number of sampler3107459655
Laboratory sample identificationL149-067-20 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Etiwanda Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)3095920
Hoop Manufacturer Lot Number(s)Lot 13-18 Material Standard CodeASTM A706
Material Grade60 Rebar Size#8
Diameter of Hoop6'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel CA
Welding CompanyCMC Etiwanda Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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