Sample Record

Owner Lab

  • CT D04 - Vallejo Field Laboratory

DIME Sample ID 2021-11-10-1

Project Information

Project IdentifiersProject ID: 993322
DEA: 010L4204
EFIS: 0122000008
DIST-CO-RTE-PM01-MEN,MEN/MEN-101-4/6, 4.0/6.0
Award Date08/23/2021
Closeout DateNot set
Work DescriptionLandslide Repair near Commisky
Location DescriptionNot set
QA Service Level1 (Verified on 10/11/2021)

Sample Information

Sample Taken Date11/10/2021 Sample Unique Key1
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 Assurance A brief description of the sampleFlash Welded Rebar Hoops
The quantity of what the sample constitutes100 From where was the sample collectedFabricator
First name of sampler or witnessed byKevin Last name of sampler or witnessed byCarpenter
Title of samplerQA Telephone number of sampler14156081742
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameConco Reinforcing Benicia Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB24-095-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateService Rebar Heat Number(s)1234
Hoop Manufacturer Lot Number(s)1234 Material Standard CodeASTM A706
Material Grade60 Rebar Size#8
Diameter of Hoop4'-5" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
Welding CompanyConco Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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

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Test File Attachments