Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-01-13-5
Project Information
Project Identifiers | Project ID: 213653 DEA: 044G8204 EFIS: 0413000049 |
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DIST-CO-RTE-PM | 04-MRN-101-10.6/10.8 |
Award Date | 05/05/2020 |
Closeout Date | 08/14/2023 |
Work Description | REPLACE SAN RAFAEL HARBOR BRIDGE (ABC) |
Location Description | MARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET |
QA Service Level | 1 (Verified on 05/31/2019) |
Sample Information
Sample Taken Date | 01/13/2021 | Sample Unique Key | 5 |
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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 testing | 01/15/2021 |
Sample type | Quality Control | A brief description of the sample | #5 Rebar 3'-5.25" dia. hoops |
The quantity of what the sample constitutes | 8 hoops | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez |
Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 5599740870 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | CMC Rebar | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-005-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
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Service or Ultimate | Ultimate | Rebar Heat Number(s) | 4103789 |
Hoop Manufacturer Lot Number(s) | Lots 1-2 | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Size | #5 |
Diameter of Hoop | 3'-5.25" | Epoxy Coated | No |
Epoxy Coating Color | NA | Rebar Manufacturer | CMC Rebar and CMC Steel |
Welding Company | CMC Rebar (Etiwanda) | Coating Standards | Uncoated |
Weld Type | Flash Welded |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |