Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2021-07-07-3

Project Information

Project IdentifiersProject ID: 212571
DEA: 051F7904
EFIS: 0514000061
DIST-CO-RTE-PM05-SB-101-56
Award Date08/14/2020
Closeout DateNot set
Work DescriptionNOJOQUI CREEK BRIDGE (51-0018 L/R) RAILING UPGRADE
Location DescriptionIN SANTA BARBARA COUNTY NEAR BUELLTON AT NOJOQUI CREEK BRIDGE (BR #51-0018 L/R)
QA Service Level1 (Verified on 02/20/2020)

Sample Information

Sample Taken Date07/07/2021 Sample Unique Key3
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 sampleUBS Hoops
The quantity of what the sample constitutes243 Hoops From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerASI Telephone number of sampler3108838369
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar Etiwanda Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4108651
Hoop Manufacturer Lot Number(s)1 and 2 Material Standard CodeASTM A706
Material Grade60 Rebar Size#5
Diameter of Hoop1'-11" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC
Welding CompanyCMC Etiwanda Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.