Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-06-29-13
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Project Information
| Project Identifiers | Project ID: 214951 DEA: 120K0234 EFIS: 1214000100 |
|---|---|
| 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 | 13 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 07/02/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #5 x 2'-2" dia. |
| The quantity of what the sample constitutes | 4 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 | L123-076-21 | 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) | 1201022826 |
| Hoop Manufacturer Lot Number(s) | Lot 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-06-29-13-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-06-29-13-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-06-29-13-3 CTM 670-December 2013 (Verified)