Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Laboratory

DIME Sample ID 2020-12-10-9

Project Information

Project IdentifiersProject ID: 214937
DEA: 11288834
EFIS: 1117000088
DIST-CO-RTE-PM11-SD-11,125,905-various
Award DateNot set
Closeout DateNot set
Work DescriptionCONSTRUCT CONCRETE BRIDGE, PAVEMENT, BARRIER, AND INSTALL LIGHTING. HPLUL-6211(133) SR-125 SB to WB SR-905
Location DescriptionSAN DIEGO COUNTY IN AND NEAR SAN DIEGO AT ROUTE 11/125/905 SEPARATION
QA Service Level1 (Verified on 09/04/2020)

Sample Information

Sample Taken Date12/10/2020 Sample Unique Key9
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 Control A brief description of the sample#9 (6'-5")
The quantity of what the sample constitutes244 From where was the sample collectedFabricator
First name of sampler or witnessed bySteve Last name of sampler or witnessed byHall
Title of samplerCT METS QA INSPECTOR Telephone number of sampler6466327821
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Etiwanda Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL134-288-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4100020
Hoop Manufacturer Lot Number(s)1 and 2 Material Standard CodeASTM A706
Material Grade60 Rebar Size#9
Diameter of Hoop6'-5" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel AZ
Welding CompanyCMC Etiwanda Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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

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Test File Attachments