Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-03-17-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 208942 DEA: 100Y2104 EFIS: 1013000104 COOP: 10415 |
|---|---|
| DIST-CO-RTE-PM | 10-TUO-108-R4.3/R5.1 |
| Award Date | 07/17/2020 |
| Closeout Date | 05/11/2023 |
| Work Description | MODIFY AND WIDEN STRUCTURE |
| Location Description | AT PEACEFUL OAK ROAD INTERCHANGE ,PART OF EAST SONORA BYPASS |
| QA Service Level | 1 (Verified on 12/06/2013) |
Sample Information
| Sample Taken Date | 03/17/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 1 lot of (144) #7 4'-8" Ø |
| The quantity of what the sample constitutes | (4) #7 4'-8" Ø | 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 | QA | Telephone number of sampler | 9515000685 |
| 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 | L133-131-21 | 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) | 2012550 |
| Hoop Manufacturer Lot Number(s) | Lot 1 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #7 |
| Diameter of Hoop | 4'-8" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Vinton Steel |
| Welding Company | TNT Rebar | 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. | |||