Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-02-09-4
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 |
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DIST-CO-RTE-PM | 01-DN-101-8.2/8.7 |
Award Date | 04/21/2020 |
Closeout Date | Not set |
Work Description | Panther Creek & Hunter Creek Bridges |
Location Description | DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE |
QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
Sample Taken Date | 02/09/2021 | Sample Unique Key | 4 |
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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 | 02/16/2021 |
Sample type | Quality Assurance | A brief description of the sample | (1500) #5 1'-6" Ø Ultimate Welded Hoops QA Sample |
The quantity of what the sample constitutes | (4) #5 1'-6" Ø Ultimate Welded Hoops QA Samples Lot 16 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Rigoberto | Last name of sampler or witnessed by | Marin |
Title of sampler | QAI | Telephone number of sampler | 951-500-0685 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | TNT Rebar | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L133-010-21 | 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) | 4103179 |
Hoop Manufacturer Lot Number(s) | Lot 16 | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Size | #5 |
Diameter of Hoop | 1'-6" | Epoxy Coated | No |
Epoxy Coating Color | NA | Rebar Manufacturer | CMC Arizona |
Welding Company | TNT Rebar Corp | Coating Standards | Uncoated |
Weld Type | Flash Welded |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-02-09-4-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-02-09-4-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-02-09-4-3 CTM 670-December 2013 (Verified)