Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2021-08-30-4

Project Information

Project IdentifiersProject ID: 214892
DEA: 06442554
EFIS: 0612000176
COOP: 061699
DIST-CO-RTE-PM06-KER-46-29.7/31.9
Award Date01/08/2021
Closeout DateNot set
Work DescriptionCONVERT 2-LANE TO 4-LANE HMA PAVEMENT AND CONSTRUCT NEW BRIDGE.
Location DescriptionKERN COUNTY AT AND NEAR LOST HILLS FROM 0.2 MILE WEST OF CALIFORNIA AQUEDUCT BRIDGE TO 1.4 MILES EAST OF LOST HILLS ROAD
QA Service Level1 (Verified on 06/17/2020)

Sample Information

Sample Taken Date08/30/2021 Sample Unique Key4
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 sampleLot 1 to 9 #6 x 3’-4” Ø ASTM A706 (1356 hoops)
The quantity of what the sample constitutes#6 x 3’-4” Ø ASTM A706 (1356 hoops) From where was the sample collectedFabricator
First name of sampler or witnessed byRigoberto Last name of sampler or witnessed byMarin
Title of samplerAMR Telephone number of sampler9515000685
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTNT Rebar Nucor Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL133-090-21 Structure unique identifier
Structure name50-0543L

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)1202034161
Hoop Manufacturer Lot Number(s)Lot 1 to 9 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop3'-4" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
Welding CompanyTNT Rebar Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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