Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-09-24-3

Project Information

Project IdentifiersProject ID: 214465
DEA: 081E5704
EFIS: 0814000051
DIST-CO-RTE-PM08-RIV-10-27.7
Award Date12/26/2019
Closeout Date09/15/2021
Work DescriptionPLACE CIDH PILING AND ROCK SLOPE PROTECTION
Location DescriptionRIVERSIDE COUNTY NEAR PALM SPRINGS AT WHITEWATER RIVER BRIDGE
QA Service Level1 (Verified on 02/28/2020)

Sample Information

Sample Taken Date09/24/2020 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 testingNot set
Sample typeQuality Assurance A brief description of the sampleUBS Welded Hoops
The quantity of what the sample constitutesLot 48 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerASI Telephone number of sampler310 883 8369
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) FormL79-051-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)457719
Hoop Manufacturer Lot Number(s)48 Material Standard CodeASTM A706
Material Grade60 Rebar Size#7
Diameter of Hoop2'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade
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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