Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2021-04-20-5

Project Information

Project IdentifiersProject ID: 215062
DEA: 030F2904
EFIS: 0314000101
DIST-CO-RTE-PM03-BUT-99-14.9/15.7
Award Date09/24/2021
Closeout DateNot set
Work DescriptionCONSTRUCT BRIDGE AND ROADWAY; & REMOVE BRIDGE.
Location DescriptionBUTTE COUNTY ABOUT 10 MILES NORTH OF GRIDLEY FROM 0.3 MILE SOUTH TO 0.5 MILE NORTH OF NELSON AVENUE
QA Service Level1 (Verified on 07/20/2020)

Sample Information

Sample Taken Date04/20/2021 Sample Unique Key5
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 sample#6 1-6 1/2" Ø Welded Hoops Lots 1 to 15
The quantity of what the sample constitutes(2250) Welded Hoops From where was the sample collectedFabricator
First name of sampler or witnessed byRigoberto Last name of sampler or witnessed byMarin
Title of samplerQAI Telephone number of sampler951-500-0685
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) FormL133-054-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)1201030476
Hoop Manufacturer Lot Number(s)Lot 1 to 15 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop1'-6.5" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
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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