Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-02-03-1
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Project Information
| Project Identifiers | Project ID: 213653 DEA: 044G8204 EFIS: 0413000049 |
|---|---|
| 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 | 02/03/2021 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 02/04/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #6 bar 1'-4" dia. hoops |
| The quantity of what the sample constitutes | 4 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 | RKR Steel Welding | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-019-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Rebar Heat Number(s) | 157720 |
| Hoop Manufacturer Lot Number(s) | Lot 1 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #6 |
| Diameter of Hoop | 1'-4" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | cascade |
| Welding Company | RKR Steel Welding | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-02-03-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-02-03-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-02-03-1-3 CTM 670-December 2013 (Verified)