Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2021-03-17-2

Project Information

Project IdentifiersProject ID: 208942
DEA: 100Y2104
EFIS: 1013000104
COOP: 10415
DIST-CO-RTE-PM10-TUO-108-R4.3/R5.1
Award Date07/17/2020
Closeout DateNot set
Work DescriptionMODIFY AND WIDEN STRUCTURE
Location DescriptionAT PEACEFUL OAK ROAD INTERCHANGE ,PART OF EAST SONORA BYPASS
QA Service Level1 (Verified on 12/06/2013)

Sample Information

Sample Taken Date03/17/2021 Sample Unique Key2
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 testingNot set
Sample typeQuality Control A brief description of the sample1 lot of (144) #7 4'-8" Ø
The quantity of what the sample constitutes(4) #7 4'-8" Ø From where was the sample collectedFabricator
First name of sampler or witnessed byRigoberto Last name of sampler or witnessed byMarin
Title of samplerQA Telephone number of sampler9515000685
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTNT Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL133-131-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)2012550
Hoop Manufacturer Lot Number(s)Lot 1 Material Standard CodeASTM A706
Material Grade60 Rebar Size#7
Diameter of Hoop4'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerVinton Steel
Welding CompanyTNT Rebar Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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