Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-06-29-12
Project Information
Project Identifiers | Project ID: 214951 DEA: 120K0234 EFIS: 1214000100 |
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DIST-CO-RTE-PM | 12-ORA-5-17.1/18.9 |
Award Date | 09/23/2020 |
Closeout Date | Not set |
Work Description | South County Improvement Project (Phase 3 - El Toro/Alicia) WIDEN FREEWAY AND BRIDGES, RECONSTRUCT BRIDGE AND WALLS. |
Location Description | ORANGE COUNTY IN MISSION VIEJO, LAGUNA HILLS, LAGUNA WOODS AND LAKE FOREST FROM 0.4 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING TO 0.2 MILE NORTH OF EL TORO ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 10/01/2020) |
Sample Information
Sample Taken Date | 06/29/2021 | Sample Unique Key | 12 |
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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 | #5 x 2'-2" dia. |
The quantity of what the sample constitutes | 8 hoops | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez |
Title of sampler | Telephone number of sampler | 5599740870 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | RKR Steel Welding | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-075-21 | 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) | 1201022826 |
Hoop Manufacturer Lot Number(s) | Lot 1-2 | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Size | #5 |
Diameter of Hoop | 2'-2" | Epoxy Coated | No |
Epoxy Coating Color | NA | Rebar Manufacturer | Nucor |
Welding Company | RKR Steel Welding | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |