Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-12-14-4

Project Information

Project IdentifiersProject ID: 214412
DEA: 11410404
EFIS: 1112000095
DIST-CO-RTE-PM11-IMP-8-R36.5/R37.5
Award Date01/16/2020
Closeout DateNot set
Work DescriptionROADWAY, BRIDGE AND PLANT ESTABLISHMENT WORK.
Location DescriptionIMPERIAL COUNTY IN EL CENTRO FROM 0.4 MILE WEST OF IMPERIAL AVENUE OVERCROSSING TO 0.1 MILE EAST OF 8TH STREET OVERCROSSING
QA Service Level1 (Verified on 03/02/2020)

Sample Information

Sample Taken Date12/14/2020 Sample Unique Key4
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 testing12/15/2020
Sample typeQuality Control A brief description of the sample#7 x 4'-2" Dia hoops
The quantity of what the sample constitutes8 hoops From where was the sample collectedFabricator
First name of sampler or witnessed byOsiel Last name of sampler or witnessed byRamirez
Title of samplerQuality Assurance Inspector Telephone number of sampler5599740870
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) FormL123-125-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingAuthorization Testing
Service or UltimateUltimate Rebar Heat Number(s)457719
Hoop Manufacturer Lot Number(s)Lot 1-2 Material Standard CodeASTM A706
Material Grade60 Rebar Size#7
Diameter of Hoop4'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade Steel
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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