Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-02-12-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214909 DEA: 120N8604 EFIS: 1214000123 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-73-23.7/24.1 |
| Award Date | 06/25/2020 |
| Closeout Date | Not set |
| Work Description | REPLACE STRUCTURAL CONCRETE BRIDGE & RETAINING WALL; & PLACE HMA. |
| Location Description | ORANGE COUNTY IN NEWPORT BEACH FROM 0.3 MILE NORTH OF BISON AVENUE TO 0.3 MILE SOUTH OF UNIVERSITY DRIVE |
| QA Service Level | 1 (Verified on 07/21/2020) |
Sample Information
| Sample Taken Date | 02/12/2021 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Control | A brief description of the sample | Welded Rebar Hoops |
| The quantity of what the sample constitutes | 120 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
| Title of sampler | QA Inspector | Telephone number of sampler | 213 435 4055 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Etiwanda | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L140-045-21 | 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) | 4105000 |
| Hoop Manufacturer Lot Number(s) | 1 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #5 |
| Diameter of Hoop | 4'-6" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | CMC Arizona |
| Welding Company | CMC 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||