Sample Record

Owner Lab

  • CT METS QASI - Los Angeles Design Build Field Laboratory

DIME Sample ID 2020-07-29-1

Project Information

Project IdentifiersProject ID: 213811
DEA: 112T2184
EFIS: 1116000174
DIST-CO-RTE-PM11-SD-5-R38.4/R47.3
Award Date10/29/2018
Closeout Date01/03/2024
Work Description(Alternative Delivery) Construct HOV lanes, soundwalls, culvert rehab, ITS, and bike trail on I-5 . NCC I-5 Highway Improvement.
Location DescriptionIN SAN DIEGO COUNTY IN ENCINITAS AND CARLSBAD FROM SAN ELIJO LAGOON BRIDGE TO 0.3 MILE NORTH OF PALOMAR AIRPORT ROAD OVERCROSSING.
QA Service Level1 (Verified on 12/19/2018)

Sample Information

Sample Taken Date07/29/2020 Sample Unique Key1
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 testing07/29/2020
Sample typeQuality Control A brief description of the sample#8 4'-6" diameter hoops
The quantity of what the sample constitutes780 hoops From where was the sample collectedSource
First name of sampler or witnessed byMichael Last name of sampler or witnessed byKopenski
Title of samplerQA Telephone number of sampler3107459655
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar 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)4098936
Hoop Manufacturer Lot Number(s)Lot 8,9,10,11,12, and 13 Material Standard CodeASTM A706
Material Grade60 Rebar Size#8
Diameter of Hoop4'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Rebar
Welding CompanyCMC 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