Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2021-08-09-3

Project Information

Project IdentifiersProject ID: 212896
DEA: 04160304
EFIS: 0400000429
DIST-CO-RTE-PM04-ALA-84-13.1/13.5
Award Date12/15/2020
Closeout DateNot set
Work DescriptionNILES CANYON ALAMEDA CREEK BRIDGE REPLACEMENT
Location DescriptionIN FREMONT, AT ALAMEDA CREEK BRIDGE (BR 33-0036).
QA Service Level1 (Verified on 09/16/2019)

Sample Information

Sample Taken Date08/09/2021 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 sampleUltimate
The quantity of what the sample constitutes18 From where was the sample collectedFabricator
First name of sampler or witnessed byBrian Last name of sampler or witnessed byMurray
Title of samplerQA Inspector Telephone number of sampler213 435 4055
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) FormL140-197-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)6020341
Hoop Manufacturer Lot Number(s)16 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop2'-0" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Rebar
Welding CompanyTNT Rebar Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments