Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2021-08-18-7

Project Information

Project IdentifiersProject ID: 214951
DEA: 120K0234
EFIS: 1214000100
DIST-CO-RTE-PM12-ORA-5-17.1/18.9
Award Date09/23/2020
Closeout DateNot set
Work DescriptionSouth County Improvement Project (Phase 3 - El Toro/Alicia) WIDEN FREEWAY AND BRIDGES, RECONSTRUCT BRIDGE AND WALLS.
Location DescriptionORANGE 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 Level1 (Verified on 10/01/2020)

Sample Information

Sample Taken Date08/18/2021 Sample Unique Key7
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 testing08/25/2021
Sample typeDepartment Acceptance A brief description of the samplePrestressing Strand
The quantity of what the sample constitutes(1 pack) .6"Ø 8,900 ft. Long From where was the sample collectedFabricator
First name of sampler or witnessed byPaul Last name of sampler or witnessed byShrestha
Title of samplerLA METS QA Inspector Telephone number of sampler4242987781
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameConFab Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL108-009-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM4 - Prestressing Strand Comments
Reel/Coil/Pack Number(s)S335651-5 Number of Coils1
Group Number Strand Diameter.6 in
Grade270 Strand SpecificationASTM A 416
Heat Number(s)S0520320-2 Mfg. Lot Number(s)S335651-5
Manufacturer(s)Sumiden

Submitted Tests

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