Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2021-10-05-9

Project Information

Project IdentifiersProject ID: 215425
DEA: 06360244
EFIS: 0613000005
DIST-CO-RTE-PM06-TUL-99-30.6/35.2
Award DateNot set
Closeout DateNot set
Work DescriptionWIDEN FREEWAY AND BRIDGES, CONSTRUCT CONCRETE BRIDGE.
Location DescriptionTULARE COUNTY IN AND NEAR TULARE FROM PROSPERITY AVENUE OVERCROSSING TO 1.2 MILES SOUTH OF AVENUE 280 OVERCROSSING
QA Service Level1 (Verified on 01/25/2021)

Sample Information

Sample Taken Date10/05/2021 Sample Unique Key9
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 sample#7 x 5'-8' hoop dia.
The quantity of what the sample constitutes16 Samples from lot 1- 4 From where was the sample collectedFabricator
First name of sampler or witnessed byOsiel Last name of sampler or witnessed byRamirez
Title of samplerQA Inspector Telephone number of sampler5599740870
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) FormL123-129-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)3103807
Hoop Manufacturer Lot Number(s)Lot 1 thru 4 Material Standard CodeASTM A706
Material Grade60 Rebar Size#7
Diameter of Hoop5'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel Texas
Welding CompanyTNT Rebar Company Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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